A case of severe preeclampsia diagnosed as post-partum hemolytic uremic syndrome

Post-partum hemolytic uremic syndrome （PHUS） is a severe thrombotic microangiopathy clinically characterized by hemolytic anemia, renal dysfunction, and low platelets after birth with rapid progression and poor prognosis. Here, we reported a rare case of severe preeclampsia diagnosed as hemolytic ur...

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Bibliographic Details
Published in:Chinese medical journal 2012-03, Vol.125 (6), p.1189-1192
Main Authors: Wang, Yong-qing, Wang, Jing, Jiang, Yuan-hui, Ye, Rong-hua, Zhao, Yang-yu
Format: Article
Language:English
Subjects:
Adult
Female
Hemolytic-Uremic Syndrome - diagnosis
Hemolytic-Uremic Syndrome - therapy
Humans
Infant, Newborn
Pre-Eclampsia - diagnosis
Pregnancy
Puerperal Disorders - diagnosis
产后
前期
子痫
尿毒症
溶血性贫血
确诊
综合征
肾功能不全
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Summary:Post-partum hemolytic uremic syndrome （PHUS） is a severe thrombotic microangiopathy clinically characterized by hemolytic anemia, renal dysfunction, and low platelets after birth with rapid progression and poor prognosis. Here, we reported a rare case of severe preeclampsia diagnosed as hemolytic uremic syndrome after birth. The patient was diagnosed with PHUS and underwent intermittent plasma exchange with supportive treatment including glucocorticoid injections and transfusion of suspended red blood cells. After these treatments, the patient experienced no apparent remission and chronic renal dysfunction occurred on her. PHUS is a severe emergency with acute onset, rapid progress, and poor prognosis. Early detection, diagnosis, and treatment can significantly improve the prognosis.
ISSN:0366-6999
2542-5641
DOI:10.3760/cma.j.issn.0366-6999.2012.06.041