A Case of Digital Gangrene Complicated by Atypical Hemolytic Uremic Syndrome in a Patient with Systemic Lupus Erythematosus.
- Author:
Hea Yon LEE
1
;
Jin Sun JANG
;
Hyung Wook KIM
;
Young Soo KIM
;
Young Ok KIM
;
Sun Ae YOON
Author Information
1. Department of Internal Medicine, The Catholic University of Korea, Seoul, Korea. dr52916@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Gangrene;
Hemolytic-Uremic syndrome;
Lupus erythematosus;
systemic;
Sepsis
- MeSH:
Acute Kidney Injury;
Adult;
Anemia, Hemolytic;
Anti-Bacterial Agents;
Emergency Medicine;
Extremities;
Female;
Gangrene;
Hemolytic-Uremic Syndrome;
Humans;
Korea;
Leg;
Lupus Erythematosus, Systemic;
Neisseria;
Paresthesia;
Plasma;
Plasma Exchange;
Sepsis;
Thailand;
Thrombocytopenia
- From:Korean Journal of Nephrology
2010;29(3):392-397
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Atypical hemolytic uremic syndrome (HUS) in adults is a life-threatening disorder characterized by acute renal failure, microangiopathic hemolytic anemia, and thrombocytopenia, which is not related to E. coli. Digital gangrene is one of the grave signs in emergency medicine because it requires prompt evaluation and treatment. We describe a 37 year-old Thailand woman, initially treated for suspected Neisseria septicemia, who went on to develop renal complications, thrombocytopenia and hemolytic anemia, which made the diagnosis of atypical hemolytic uremic syndrome. The patient was complaining of dysesthesia on all extremities and severe pain in both legs. Serologically, she was diagnosed as systemic lupus erythematosus (SLE). She was treated with plasma exchanges using fresh frozen plasma, parenteral steroid, anticoagulant and antibiotics, successfully. This is the first report of digital gangrene complicated by atypical HUS in a patient with SLE in Korea.
