EXTRARENAL INVOLVEMENT IN DIARRHEA-ASSOCIATED HEMOLYTIC-UREMIC SYNDROME

被引:91
作者
GALLO, GE [1 ]
GIANANTONIO, CA [1 ]
机构
[1] HOSP ITALIANO BUENOS AIRES,DEPT PEDIAT,RA-1181 BUENOS AIRES,DF,ARGENTINA
关键词
HEMOLYTIC-UREMIC SYNDROME; THROMBOTIC MICROANGIOPATHY; EXTRARENAL INVOLVEMENT;
D O I
10.1007/BF00858990
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
A review of extrarenal involvement in diarrhoea-associated haemolytic-uraemic syndrome (HUS) is based on 64 of our autopsied patients and an update of the literature. Large bowel pathology was the commonest (29 cases), followed by the central nervous system (21 cases), the heart (19 cases) and the pancreas (19 cases). The severity of systemic involvement was associated with the magnitude of renal compromise and the prognosis of the acute phase. Diarrhoea-associated HUS is described as a multiorgan entity, due to extensive microvascular damage and thrombosis. At present mortality during the acute phase is not confined to renal failure; systemic involvement can also lead to death.
引用
收藏
页码:117 / 119
页数:3
相关论文
共 29 条
  • [11] Whitington P.F., Friedman A.L., Chesney R.W., Gastrointestinal disease in the hemolytic-uremic syndrome, Gastroenterology, 76, pp. 728-733, (1979)
  • [12] De La Hunt M.N., Morris K.P., Coulthard M.G., Rangecroft L., Oesophageal and severe gut involvement in the haemolytic-uraemic syndrome, Br J Surg, 78, pp. 1469-1472, (1991)
  • [13] Lopez E.L., Devoto S., Fayad A., Canepa C., Morrow A.L., Cleary T.G., Association between severity of gastrointestinal prodrome and long-term prognosis in classic hemolytic-uremic syndrome, J Pediatr, 120, pp. 210-215, (1992)
  • [14] Sawaf H., Sharp M.J., Youn K.J., Jewell P.A., Rabbani A., Ischemic colitis and stricture after hemolytic-uremic syndrome, Pediatrics, 61, pp. 315-317, (1978)
  • [15] Tochen M.L., Campbell T.R., Colitis in children with the hemolytic-uremic syndrome, J Pediatr Surg, 12, pp. 213-219, (1977)
  • [16] Rooney N., Variend S., Taitz L.S., Haemolytic uraemic syndrome and pseudomembranous colitis, Pediatr Nephrol, 2, pp. 415-418, (1988)
  • [17] Sunn C.C.J., Hill J.L., Coombs J.W., Hemolytic-uremic syndrome mimicking intestinal intussusception, Fetal & Pediatric Pathology, 1, pp. 415-422, (1983)
  • [18] Burns J.C., Berman E.R., Fagre J.L., Shikes R.H., Lum G.M., Pancreatic islet cell necrosis: association with the hemolytic-uremic syndrome, J Pediatr, 100, pp. 582-584, (1982)
  • [19] Andreoli S.P., Bergstein J.M., Development of insulin-dependent diabetes mellitus during the hemolytic-uremic syndrome, J Pediatr, 100, pp. 541-545, (1982)
  • [20] Van Rhijn A., Donckerwolcke R.A., Kuijten R.H., Van der Heiden C., Liver damage in the hemolytic-uremic syndrome, Helv Paediatr Acta, 32, pp. 77-81, (1977)