0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Hemolytic-Uremic Syndrome in Two Siblings From a Nonendemic Area

LEONARD C. HYMES, MD; BARRY L. WARSHAW, MD
Am J Dis Child. 1981;135(8):766-767. doi:10.1001/archpedi.1981.02130320074025.
Text Size: A A A
Published online

The hemolytic-uremic syndrome (HUS) has been recognized as a cause of acute renal failure in infancy and childhood since 1955.1 The syndrome is characterized by a diarrheal prodrome, microangiopathic hemolytic anemia, thrombocytopenia, and renal failure. Numerous articles from both endemic2.3 and nonendemic4.5 regions have reported the broad spectrum of severity of this disease. However, relatively little emphasis has been given to the tendency of this disorder to occur in siblings. This article reports HUS in two brothers from a nonendemic area and demonstrates the variations in severity of this disease.

Report of Cases.—Case 1.—A 4-year-old boy was admitted to Henrietta Egleston Hospital for Children, Atlanta, after bloody diarrhea, vomiting, and increasing lethargy of five days' duration. Bloodtinged urine had developed the day prior to admission. Physical examination showed a lethargic but easily aroused child. The blood pressure (BP) was 96/62 mm Hg. The conjunctivae were mildly

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();