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Multiple extrarenal manifestations in hemolytic uremic syndrome: A case report

Korean Journal of Pediatrics 2007;50(12):1261-1265.
Published online December 15, 2007.
Multiple extrarenal manifestations in hemolytic uremic syndrome: A case report
Eugene Kim, So-Young Kim
Department of Pediatrics, College of Medicine, Catholic University, Seoul, Korea
다발성 신외 증상이 동반된 용혈요독증후군 1례
김유진, 김소영
가톨릭대학교 의과대학 소아과학교실
Correspondence: 
So-Young Kim, Email: sykim@catholic.ac.kr
Abstract
Extrarenal manifestations of hemolytic uremic syndrome (HUS) have increasingly been recognized and may be major determinants of mortality and morbidity. Although microthrombi are often found in the pulmonary and coronary circulation, apparent lung and cardiac involvement are clinically infrequent. We describe here a 10-month-old boy with HUS who developed pulmonary hemorrhage, acute respiratory distress syndrome and dilated cardiomyopathy. Complete renal as well as clinical recovery from these very uncommon complications was achieved by optimum supportive care.
Key Words: Hemolytic uremic syndrome, Cardiomyopathy, Extrarenal manifestations


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