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一例与抗H因子自身抗体相关的成人非典型溶血性尿毒症综合征经血浆置换、皮质类固醇和利妥昔单抗成功治疗的病例。

A case of adult atypical haemolytic uraemic syndrome related to anti-factor H autoantibodies successfully treated by plasma exchange, corticosteroids and rituximab.

作者信息

Lionet Arnaud, Provôt François, Glowacki François, Frémeaux-Bacchi Veronique, Hazzan Marc

机构信息

Department of Néphrology , Hospital Calmette , CHRU-Lille, Lille.

Department of Immunology , Höpital Europeen Georges Pompidou, Paris , France.

出版信息

NDT Plus. 2009 Dec;2(6):458-60. doi: 10.1093/ndtplus/sfp109. Epub 2009 Aug 18.

DOI:10.1093/ndtplus/sfp109
PMID:25984036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4421306/
Abstract

Complement factor H auto-antibodies (CFH-ab) are a rare cause (6-10%) of atypical haemolytic uraemic syndrome (aHUS). All observations previously described were retrospective and occurred in children or teenagers. We report the first case of aHUS associated with anti-CFH antibodies in an adult patient who was successfully treated by plasma exchange, corticosteroids and rituximab.

摘要

补体因子H自身抗体(CFH-ab)是非典型溶血性尿毒症综合征(aHUS)的罕见病因(6%-10%)。此前描述的所有观察结果均为回顾性研究,且发生在儿童或青少年中。我们报告了首例成年aHUS患者,其抗CFH抗体呈阳性,通过血浆置换、皮质类固醇和利妥昔单抗成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c21a/4421306/2b90a53df412/sfp109fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c21a/4421306/2b90a53df412/sfp109fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c21a/4421306/2b90a53df412/sfp109fig1.jpg

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