Published in:
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.