Peripheral gangrene complicating hemolytic uremic syndrome in a child

被引：0

作者：

Ahmet Özel

Ümran Çalışkan

Şafak Gücer

机构：

[1] Ýncircli Cd.,Department of Pediatric Nephrology

[2] 38/6,Department of Pediatric Hematology and Oncology

[3] Selcuk University School of Medicine,Department of Pediatric Pathology

[4] Selcuk University School of Medicine,undefined

[5] Hacettepe University Faculty of Medicine,undefined

来源：

Pediatric Nephrology | 2003年 / 18卷

关键词：

Peripheral gangrene; Hemolytic uremic syndrome; Plasmapheresis;

D O I：

暂无

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学科分类号：

摘要：

A patient with hemolytic uremic syndrome (HUS) developed peripheral gangrene involving all fingers and toes. There was no history of bloody diarrhea. Hypocomplementemia was present, with a serum C3 concentration of 41 mg/dl. Acute renal failure was treated with peritoneal dialysis for 4 months. He received daily fresh-frozen plasma infusions and plasmapheresis on alternate days for ten sessions, followed by once-weekly sessions. He was anuric for 9 weeks. All medial and distal phalanxes became necrotic and were removed surgically. The renal biopsy findings were consistent with HUS. This is the second report of peripheral gangrene during the course of HUS in childhood.

引用

页码：465 / 467

页数：2