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Köse, O; Zimmerhackl, LB; Jungraithmayr, T; Mache, C; Nürnberger, J.
New treatment options for atypical hemolytic uremic syndrome with the complement inhibitor eculizumab.
Semin Thromb Hemost. 2010; 36(6):669-672 Doi: 10.1055/s-0030-1262889 (- Case Report)
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Co-Autor*innen der Med Uni Graz
Mache Christoph
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Abstract:
Hemolytic uremic syndrome (HUS) is a disease characterized by microangiopathic hemolytic anemia, consumptive thrombocytopenia, and renal impairment. Often HUS is triggered by Shiga-like toxin- producing ESCHERICHIA COLI. Less common is atypical HUS (aHUS), which is caused by defective complement control. aHUS is associated with mutations in genes encoding complement regulatory proteins in ~50% of patients with this syndrome. Furthermore, autoantibodies that inactivate to factor H have also been linked to the disease. Initial triggers include infections, use of endothelial-affecting drugs, malignancies, transplantation, and pregnancy. Advances in our understanding of the pathogenesis of atypical HUS suggest that complement inhibition may be used as treatment for the disease. We discuss the potential benefit of the complement inhibitor eculizumab for the treatment of aHUS. © Thieme Medical Publishers.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Antibodies, Monoclonal - immunology
Antibodies, Monoclonal - therapeutic use
Antibodies, Monoclonal, Humanized -
Complement C3b Inactivator Proteins - genetics
Complement C5 - immunology
Complement Factor H - genetics
Complement Pathway, Alternative - drug effects
Complement Pathway, Alternative - immunology
Female -
Gene Deletion -
Hemolytic-Uremic Syndrome - drug therapy
Hemolytic-Uremic Syndrome - genetics
Hemolytic-Uremic Syndrome - immunology
Humans -
Mutation -
Polymorphism, Genetic -
Treatment Outcome -
Young Adult -

Find related publications in this database (Keywords)
Atypical hemolytic uremic syndrome
complement activation
complement inhibitor
eculizumab
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