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Published in: Pediatric Nephrology 12/2019

01-12-2019 | Hemolytic Uremic Syndrome | Brief Report

Is eculizumab indicated in patients with atypical hemolytic uremic syndrome already on prolonged dialysis? A case report and review of the literature

Authors: Orly Haskin, Yafa Falush, Miriam Davidovits

Published in: Pediatric Nephrology | Issue 12/2019

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Abstract

Background

Eculizumab has caused a revolution in the treatment and prognosis of atypical hemolytic uremic syndrome. Early initiation of treatment is recommended to increase chances of renal recovery.

Case-diagnosis/treatment

We describe a boy with atypical hemolytic uremic syndrome who started eculizumab therapy after being on dialysis for 4.5 months, with complete anuria. With treatment, he was weaned off dialysis.

Conclusion

We review the evidence in the literature and discuss the possible mechanism by which eculizumab induces renal recovery even in patients already on prolonged dialysis. This case report highlights the importance of a treatment trial with eculizumab, even in patients already on prolonged dialysis.
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Metadata
Title
Is eculizumab indicated in patients with atypical hemolytic uremic syndrome already on prolonged dialysis? A case report and review of the literature
Authors
Orly Haskin
Yafa Falush
Miriam Davidovits
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Published in
Pediatric Nephrology / Issue 12/2019
Print ISSN: 0931-041X
Electronic ISSN: 1432-198X
DOI
https://doi.org/10.1007/s00467-019-04341-4

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