A case of recurrent postpartum hemolytic uremic syndrome.
- Author:
Seung IL LEE
1
;
Jong Hoon CHUNG
Author Information
1. Department of Internal Medicine, College of Medicine, Chosun University, KwangJu, Korea.
- Publication Type:Case Report
- Keywords:
Hemolytic-uremic syndrome;
Puerperium;
Recurrence
- MeSH:
Acute Kidney Injury;
Adult;
Anemia, Hemolytic;
Azotemia;
Communicable Diseases;
Connective Tissue Diseases;
Female;
Hemolytic-Uremic Syndrome*;
Humans;
Plasmapheresis;
Postpartum Period*;
Pregnancy;
Recurrence;
Renal Dialysis;
Thrombocytopenia
- From:Korean Journal of Medicine
2002;62(1):104-108
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The hemolytic uremic syndrome (HUS) is characterized by triad of microangiopathic hemolytic anemia, thrombocytopenia, and azotemia. The major causes of this syndrome are infectious diseases, drugs, cancer, connective tissue diseases and pregnancy. The association of pregnancy with HUS is an unusual but well described event occurring typically in the postpartum period. Postpartum HUS is also a cause of acute renal failure in pregnancy. Some cases of recurrent HUS due to drugs or infection were reported. We experienced a 33-year-old woman with recurrent postpartum HUS. She had postpartum HUS 5 years ago and was recovered completely with one month treatment including hemodialysis. On this admission, she presented with hemolytic anemia, thrombocytopenia and acute renal failure after delivery. We carried out hemodialysis, plasmapheresis and other conservative management for 2 months. However, the patient's renal function was not recovered, and maintenance hemodialysis was required.
