Difficulties in diagnostics of atypical hemolytic uremic syndrome in the intensive care unit

Atypical hemolytic uremic syndrome (aHUS) is an orphan disease, representing one of thrombotic microangiopathies, the natural course of which leads to an unfavorable outcome often accompanied by multiple organ failure in the onset of the disease. Anesthesiologists and emergency physicians play an im...

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Main Authors: N. L. Kozlovskаya, G. M. Gаlstyan, V. N. Stepаnyuk
Format: Article
Language:Russian
Published: New Terra Publishing House 2019-09-01
Series:Вестник анестезиологии и реаниматологии
Subjects:
Online Access:https://www.vair-journal.com/jour/article/view/358
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author N. L. Kozlovskаya
G. M. Gаlstyan
V. N. Stepаnyuk
author_facet N. L. Kozlovskаya
G. M. Gаlstyan
V. N. Stepаnyuk
author_sort N. L. Kozlovskаya
collection DOAJ
description Atypical hemolytic uremic syndrome (aHUS) is an orphan disease, representing one of thrombotic microangiopathies, the natural course of which leads to an unfavorable outcome often accompanied by multiple organ failure in the onset of the disease. Anesthesiologists and emergency physicians play an important role in the multi-disciplinary team of specialists managing such patients. However, this disease is rare and its symptoms are similar to the ones of some other disorders including sepsis and disseminated intravascular coagulation syndrome, thus often aHUS is diagnosed late and specific treatment is not started in time. This article aims to present main notions related to thrombotic microangiopathies and discuss topical issues of differential diagnostics of aHUS in the intensive care units giving two clinical cases as an example.
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series Вестник анестезиологии и реаниматологии
spelling doaj-art-1403383e5c7f4131a013b4c8a1c0debb2025-08-20T02:59:45ZrusNew Terra Publishing HouseВестник анестезиологии и реаниматологии2078-56582541-86532019-09-01164657610.21292/2078-5658-2019-16-4-65-76335Difficulties in diagnostics of atypical hemolytic uremic syndrome in the intensive care unitN. L. Kozlovskаya0G. M. Gаlstyan1V. N. Stepаnyuk2City Clinical Hospital named after A.K. Eramishantsev; Peoples’ Friendship University of RussiaNational Medical Research Center of HematologyPrimorskaya Regional Clinical Hospital no. 1Atypical hemolytic uremic syndrome (aHUS) is an orphan disease, representing one of thrombotic microangiopathies, the natural course of which leads to an unfavorable outcome often accompanied by multiple organ failure in the onset of the disease. Anesthesiologists and emergency physicians play an important role in the multi-disciplinary team of specialists managing such patients. However, this disease is rare and its symptoms are similar to the ones of some other disorders including sepsis and disseminated intravascular coagulation syndrome, thus often aHUS is diagnosed late and specific treatment is not started in time. This article aims to present main notions related to thrombotic microangiopathies and discuss topical issues of differential diagnostics of aHUS in the intensive care units giving two clinical cases as an example.https://www.vair-journal.com/jour/article/view/358thrombotic microangiopathyatypical hemolytic uremic syndromesepsisdisseminated intravascular coagulation syndrome
spellingShingle N. L. Kozlovskаya
G. M. Gаlstyan
V. N. Stepаnyuk
Difficulties in diagnostics of atypical hemolytic uremic syndrome in the intensive care unit
Вестник анестезиологии и реаниматологии
thrombotic microangiopathy
atypical hemolytic uremic syndrome
sepsis
disseminated intravascular coagulation syndrome
title Difficulties in diagnostics of atypical hemolytic uremic syndrome in the intensive care unit
title_full Difficulties in diagnostics of atypical hemolytic uremic syndrome in the intensive care unit
title_fullStr Difficulties in diagnostics of atypical hemolytic uremic syndrome in the intensive care unit
title_full_unstemmed Difficulties in diagnostics of atypical hemolytic uremic syndrome in the intensive care unit
title_short Difficulties in diagnostics of atypical hemolytic uremic syndrome in the intensive care unit
title_sort difficulties in diagnostics of atypical hemolytic uremic syndrome in the intensive care unit
topic thrombotic microangiopathy
atypical hemolytic uremic syndrome
sepsis
disseminated intravascular coagulation syndrome
url https://www.vair-journal.com/jour/article/view/358
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