Hemolytic-Uremic Syndrome Mediated by Complement: A Case Report
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.24950/rspmi.1927 |
Resumo: | Complement-mediated hemolytic uremic syndrome (cHUS)is a rare syndrome that predominantly affects children andyoung adults and arises from defects in the regulation of the complement cascade. We present the case of a patient who presented with a clinical picture of nausea, vomiting, diffuse abdominal pain, diarrhea, and dark urine with three days of evolution. Analytically, there were signs of microangiopathic hemolytic anemia, thrombocytopenia, and renal injury, and the patient was admitted for study. Initially treated with plasmapheresis and corticosteroids, without clinical or analytical improvement. After an exhaustive study, and with more likely diagnoses excluded, cHUS was assumed and treatment with eculizumab was initiated with sustained recovery. |
id |
RCAP_aa73cfbc9d3d29aa9aeab514b737dfd2 |
---|---|
oai_identifier_str |
oai:oai.revista.spmi.pt:article/1927 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Hemolytic-Uremic Syndrome Mediated by Complement: A Case ReportSíndrome Hemolítica-Urémica Mediada por Complemento: A Propósito de um Caso ClínicoAtivação do ComplementoInativadores do Complemento/uso terapêuticoProteínas do Sistema ComplementoSíndrome Hemolítica-Urémica AtípicaAtypical Hemolytic Uremic SyndromeComplement ActivationComplement Inactivating Agents/ therapeutic useComplement System ProteinsComplement-mediated hemolytic uremic syndrome (cHUS)is a rare syndrome that predominantly affects children andyoung adults and arises from defects in the regulation of the complement cascade. We present the case of a patient who presented with a clinical picture of nausea, vomiting, diffuse abdominal pain, diarrhea, and dark urine with three days of evolution. Analytically, there were signs of microangiopathic hemolytic anemia, thrombocytopenia, and renal injury, and the patient was admitted for study. Initially treated with plasmapheresis and corticosteroids, without clinical or analytical improvement. After an exhaustive study, and with more likely diagnoses excluded, cHUS was assumed and treatment with eculizumab was initiated with sustained recovery.A síndrome hemolítica-urémica mediada por complemento(SHUc) é uma síndrome rara, que atinge predominantemente crianças e jovens adultos e surge por defeitos na regulação da cascata do complemento. Apresentamos o caso de uma doente que se apresenta com quadro de náuseas, vómitos, dor abdominal difusa, dejeções e colúria com três dias de evolução. Analiticamente com sinais de anemia hemolítica microangiopática, trombocitopenia e lesão renal, foi internada para estudo. Inicialmente sob terapêutica com permuta plasmática e corticoterapia, sem melhoria clínica ou analítica. Após estudo exaustivo, e excluídos diagnósticos mais prováveis, assumido diagnóstico de SHUc tendo iniciado terapêutica dirigida com eculizumab com recuperação sustentada.Sociedade Portuguesa de Medicina Interna2023-10-27info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.24950/rspmi.1927https://doi.org/10.24950/rspmi.1927Internal Medicine; Ahead of PrintMedicina Interna; Ahead of Print2183-99800872-671Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://revista.spmi.pt/index.php/rpmi/article/view/1927https://revista.spmi.pt/index.php/rpmi/article/view/1927/1827Direitos de Autor (c) 2023 Medicina Internainfo:eu-repo/semantics/openAccessde Albuquerque Monteiro, InêsFernandes Moura, PedroPinho, FilipaGonçalves Pinto, RitaSilveira, Pedro2023-12-30T06:44:10Zoai:oai.revista.spmi.pt:article/1927Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:26:03.162137Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Hemolytic-Uremic Syndrome Mediated by Complement: A Case Report Síndrome Hemolítica-Urémica Mediada por Complemento: A Propósito de um Caso Clínico |
title |
Hemolytic-Uremic Syndrome Mediated by Complement: A Case Report |
spellingShingle |
Hemolytic-Uremic Syndrome Mediated by Complement: A Case Report de Albuquerque Monteiro, Inês Ativação do Complemento Inativadores do Complemento/uso terapêutico Proteínas do Sistema Complemento Síndrome Hemolítica-Urémica Atípica Atypical Hemolytic Uremic Syndrome Complement Activation Complement Inactivating Agents/ therapeutic use Complement System Proteins |
title_short |
Hemolytic-Uremic Syndrome Mediated by Complement: A Case Report |
title_full |
Hemolytic-Uremic Syndrome Mediated by Complement: A Case Report |
title_fullStr |
Hemolytic-Uremic Syndrome Mediated by Complement: A Case Report |
title_full_unstemmed |
Hemolytic-Uremic Syndrome Mediated by Complement: A Case Report |
title_sort |
Hemolytic-Uremic Syndrome Mediated by Complement: A Case Report |
author |
de Albuquerque Monteiro, Inês |
author_facet |
de Albuquerque Monteiro, Inês Fernandes Moura, Pedro Pinho, Filipa Gonçalves Pinto, Rita Silveira, Pedro |
author_role |
author |
author2 |
Fernandes Moura, Pedro Pinho, Filipa Gonçalves Pinto, Rita Silveira, Pedro |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
de Albuquerque Monteiro, Inês Fernandes Moura, Pedro Pinho, Filipa Gonçalves Pinto, Rita Silveira, Pedro |
dc.subject.por.fl_str_mv |
Ativação do Complemento Inativadores do Complemento/uso terapêutico Proteínas do Sistema Complemento Síndrome Hemolítica-Urémica Atípica Atypical Hemolytic Uremic Syndrome Complement Activation Complement Inactivating Agents/ therapeutic use Complement System Proteins |
topic |
Ativação do Complemento Inativadores do Complemento/uso terapêutico Proteínas do Sistema Complemento Síndrome Hemolítica-Urémica Atípica Atypical Hemolytic Uremic Syndrome Complement Activation Complement Inactivating Agents/ therapeutic use Complement System Proteins |
description |
Complement-mediated hemolytic uremic syndrome (cHUS)is a rare syndrome that predominantly affects children andyoung adults and arises from defects in the regulation of the complement cascade. We present the case of a patient who presented with a clinical picture of nausea, vomiting, diffuse abdominal pain, diarrhea, and dark urine with three days of evolution. Analytically, there were signs of microangiopathic hemolytic anemia, thrombocytopenia, and renal injury, and the patient was admitted for study. Initially treated with plasmapheresis and corticosteroids, without clinical or analytical improvement. After an exhaustive study, and with more likely diagnoses excluded, cHUS was assumed and treatment with eculizumab was initiated with sustained recovery. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-27 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.24950/rspmi.1927 https://doi.org/10.24950/rspmi.1927 |
url |
https://doi.org/10.24950/rspmi.1927 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://revista.spmi.pt/index.php/rpmi/article/view/1927 https://revista.spmi.pt/index.php/rpmi/article/view/1927/1827 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2023 Medicina Interna info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2023 Medicina Interna |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Medicina Interna |
dc.source.none.fl_str_mv |
Internal Medicine; Ahead of Print Medicina Interna; Ahead of Print 2183-9980 0872-671X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799134141859495936 |