RT Journal A1 Baliga R, Fleischmann LE, Chang C, Sarnaik AP, Bidani AK, Arcinue EL T1 ACute renal failure in reye's syndrome JF American Journal of Diseases of Children JO American Journal of Diseases of Children YR 1979 FD October 1 VO 133 IS 10 SP 1009 OP 1013 DO 10.1001/archpedi.1979.02130100033006 UL http://dx.doi.org/10.1001/archpedi.1979.02130100033006 AB • Three patients with initial clinical manifestations and biochemical findings suggestive of a diagnosis of Reye's syndrome had acute renal insufficiency develop and had evidence of consumptive coagulopathy, not generally considered features of the syndrome. As a group, they could not be distinguished, either on the basis of their clinical manifestations or liver pathologic findings, from the 17 patients with Reye's syndrome without renal failure seen in our institution during the same period of time. The use of osmotic diuretics in an effort to decrease cerebral edema may be life threatening in these patients with compromised renal function since hypervolemia, cardiac failure, and worsening of cerebral edema may occur.(Am J Dis Child 133:1009-1013, 1979)