Skin Involvement in Atypical Hemolytic Uremic Syndrome

被引:24
作者
Ardissino, Gianluigi [1 ]
Tel, Francesca [1 ]
Testa, Sara [1 ]
Marzano, Angelo Valerio [2 ]
Lazzari, Riccardo [2 ]
Salardi, Stefania [1 ]
Edefonti, Alberto [1 ]
机构
[1] Osped Maggiore Policlin, Ctr HUS Prevent Control & Management, Fdn IRCCS Ca Granda, I-20122 Milan, Italy
[2] Osped Maggiore Policlin, Dermatol Unit, Fdn IRCCS Ca Granda, I-20122 Milan, Italy
关键词
Haemolytic uremic syndrome; skin; eculizumab; thrombotic microangiopathy; plasma exchange; case report; MUTATIONS;
D O I
10.1053/j.ajkd.2013.09.020
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Skin involvement in atypical hemolytic uremic syndrome (aHUS) is very uncommon and therefore often unrecognized as a specific symptom of aHUS. We describe 3 cases of patients with aHUS who developed skin lesions that completely recovered when disease-specific treatment was established. These cases suggest that in individuals with aHUS, when skin lesions of unknown origin occur, the possibility that they are due to thrombotic microangiopathy should be considered. (C) 2014 by the National Kidney Foundation, Inc.
引用
收藏
页码:652 / 655
页数:4
相关论文
共 12 条
[1]   Genetics of HUS:: the impact of MCP, CFH, and IF mutations on clinical presentation, response to treatment, and outcome [J].
Caprioli, Jessica ;
Noris, Marina ;
Brioschi, Simona ;
Pianetti, Gaia ;
Castelletti, Federica ;
Bettinaglio, Paola ;
Mele, Caterina ;
Bresin, Elena ;
Cassis, Linda ;
Gamba, Sara ;
Porrati, Francesca ;
Bucchioni, Sara ;
Monteferrante, Giuseppe ;
Fang, Celia J. ;
Liszewski, M. K. ;
Kavanagh, David ;
Atkinson, John P. ;
Remuzzi, Giuseppe .
BLOOD, 2006, 108 (04) :1267-1279
[2]   Thrombotic Microangiopathy: Current Knowledge and Outcomes With Plasma Exchange [J].
Clark, William F. .
SEMINARS IN DIALYSIS, 2012, 25 (02) :214-219
[3]   MUCOCUTANEOUS MANIFESTATIONS OF THE HEMOLYTIC-UREMIC SYNDROME [J].
EHLAYEL, MS ;
AKL, KF .
CLINICAL PEDIATRICS, 1991, 30 (04) :208-210
[4]   Atypical hemolytic uremic syndrome in children: complement mutations and clinical characteristics [J].
Geerdink, Lianne M. ;
Westra, Dineke ;
van Wijk, Joanna A. E. ;
Dorresteijn, Eiske M. ;
Lilien, Marc R. ;
Davin, Jean-Claude ;
Komhoff, Martin ;
Van Hoeck, Koen ;
van der Vlugt, Amerins ;
van den Heuvel, Lambertus P. ;
van de Kar, Nicole C. A. J. .
PEDIATRIC NEPHROLOGY, 2012, 27 (08) :1283-1291
[5]   Genetics and complement in atypical HUS [J].
Kavanagh, David ;
Goodship, Tim .
PEDIATRIC NEPHROLOGY, 2010, 25 (12) :2431-2442
[6]  
Kelly R I, 1995, Australas J Dermatol, V36, P109, DOI 10.1111/j.1440-0960.1995.tb00952.x
[7]   Atypical hemolytic uremic syndrome [J].
Loirat, Chantal ;
Fremeaux-Bacchi, Veronique .
ORPHANET JOURNAL OF RARE DISEASES, 2011, 6
[8]   Skin involvement in cutaneous and systemic vasculitis [J].
Marzano, Angelo V. ;
Vezzoli, Pamela ;
Berti, Emilio .
AUTOIMMUNITY REVIEWS, 2013, 12 (04) :467-476
[9]   Hemolytic uremic syndrome [J].
Noris, M ;
Remuzzi, G .
JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2005, 16 (04) :1035-1050
[10]   Eculizumab for Atypical Hemolytic-Uremic Syndrome. [J].
Nuernberger, Jens ;
Witzke, Oliver ;
Saez, Anabelle Opazo ;
Vester, Udo ;
Baba, Hideo Andreas ;
Kribben, Andreas ;
Zimmerhackl, Lothar Bernd ;
Janecke, Andreas R. ;
Nagel, Mato ;
Kirschfink, Michael .
NEW ENGLAND JOURNAL OF MEDICINE, 2009, 360 (05) :542-544