Cheong Hae Il, Jo Sang Kyung, Yoon Sung Soo, Cho Heeyeon, Kim Jin Seok, Kim Young Ok, Koo Ja Ryong, Park Yong, Park Young Seo, Shin Jae Il, Yoo Kee Hwan, Oh Doyeun
Department of Pediatrics, Seoul National University Children's Hospital, Seoul, Korea.
Research Coordination Center for Rare Diseases, Seoul National University Hospital, Seoul, Korea.
J Korean Med Sci. 2016 Oct;31(10):1516-28. doi: 10.3346/jkms.2016.31.10.1516.
Atypical hemolytic uremic syndrome (aHUS) is a rare syndrome characterized by micro-angiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury. The major pathogenesis of aHUS involves dysregulation of the complement system. Eculizumab, which blocks complement C5 activation, has recently been proven as an effective agent. Delayed diagnosis and treatment of aHUS can cause death or end-stage renal disease. Therefore, a diagnosis that differentiates aHUS from other forms of thrombotic microangiopathy is very important for appropriate management. These guidelines aim to offer recommendations for the diagnosis and treatment of patients with aHUS in Korea. The guidelines have largely been adopted from the current guidelines due to the lack of evidence concerning the Korean population.
非典型溶血尿毒综合征(aHUS)是一种罕见的综合征,其特征为微血管病性溶血性贫血、血小板减少和急性肾损伤。aHUS的主要发病机制涉及补体系统失调。阻断补体C5激活的依库珠单抗最近已被证明是一种有效药物。aHUS的诊断和治疗延迟可导致死亡或终末期肾病。因此,将aHUS与其他形式的血栓性微血管病区分开来的诊断对于适当管理非常重要。这些指南旨在为韩国aHUS患者的诊断和治疗提供建议。由于缺乏关于韩国人群的证据,这些指南在很大程度上借鉴了现行指南。