RECURRENT HEMOLYTIC UREMIC SYNDROME AND ACQUIRED HYPOMORPHIC VARIANT OF THE 3RD COMPONENT OF COMPLEMENT

被引:35
作者
ROODHOOFT, AM
MCLEAN, RH
ELST, E
VANACKER, KJ
机构
[1] Department of Paediatrics, Division of Paediatric Nephrology, University of Antwerp, Antwerp
[2] Division of Paediatric Nephrology, Johns Hopkins University, Baltimore, Maryland
关键词
HEMOLYTIC UREMIC SYNDROME; COMPLEMENT;
D O I
10.1007/BF00858631
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
In a girl with recurrent haemolytic uraemic syndrome (HUS), persistently low serum levels of C3 were found. Analysis of complement phenotype revealed a hypomorphic variant of C3 Fast in the patient (C3fS) and a normal heterozygous pattern in both parents and the brother (C3FS). Other complement aberrations in the patient were: the presence of a null gene for C4A and C4B and low serum levels of factor H. The father also had partial factor H deficiency. It is hypothesized that the hypomorphic C3 variant may predispose to recurrent HUS. In the acquired forms the role of uraemia in alteration of C3F should be considered.
引用
收藏
页码:597 / 599
页数:3
相关论文
共 12 条
[1]  
Habib R., Levy M., Gagnadoux M-F, Broyer M., Le pronostic du syndrome hémolytique et urémique chez l'enfant, Actualités Néphrologiques de l'Hôpital Necker, (1981)
[2]  
Carreras L., Romero R., Requesens C., Oliver A.J., Carrera M., Clavo M., Alsina J., Familial hypocomplementemic hemolytic uremic syndrome with HLA-A3, B7 haplotype, JAMA, 245, pp. 602-604, (1981)
[3]  
Thompson R.A., Winterborn M.H., Hypocomplementaemia due to a genetic deficiency of BH globulin, Clin Exp Immunol, 46, pp. 110-119, (1981)
[4]  
Wyatt R.J., Jones D., Stapleton F.B., Roy S., Odom T.W., McLean R.H., Recurrent hemolytic-uremic syndrome with the hypomorphic fast allele of the third component of complement, J Pediatr, 107, pp. 564-565, (1985)
[5]  
Laurell C.B., Electroimmunoassay, Anal Biochem, 10, pp. 358-361, (1965)
[6]  
Mc Lean R.H., Weinstein A., Damjanov I., Rothfield N., Hypomorphic variant of C3, arthritis and chronic glomerulonephritis, The Journal of Pediatrics, 93, pp. 937-943, (1978)
[7]  
Kaplan B.S., Hemolytic uremic syndrome with recurrent episodes: an important subset, Clin Nephrol, 8, pp. 495-498, (1977)
[8]  
Beattie T.J., Murphy A.V., Willoughby M.L.N., Matchin S.J., Defreyn G., Plasmapheresis in the hemolytic-uremic syndrome in children, Br Med J, 228, pp. 1667-1668, (1981)
[9]  
Feldhoff C.M., Luboldt W., Bussman K., Schror K., Plasma exchanges in frequently recurrent hemolytic-uremic syndrome in a child, Int J Pediatr Nephrol, 4, pp. 239-242, (1983)
[10]  
Bogdanovic R., Cvoric A., Nikolic V., Sindjic M., Recurrent haemolytic uraemic syndrome with hypocomplementaemia: a case report, Pediatr Nephrol, 2, pp. 236-238, (1988)