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Journal of the Korean Society of Pediatric Nephrology 2004;8(1): 86-90.
허혈성 대장염에 동반된 용혈성 요독 증후군 1례
김양현, 안선영, 박지민, 이재승
1연세대학교 의과대학 소아과학교실, 신장질환연구소
2연세대학교 의과대학 소아과학교실, 신장질환연구소
3연세대학교 의과대학 소아과학교실, 신장질환연구소
4연세대학교 의과대학 소아과학교실, 신장질환연구소
A Case of Hemolytic Uremic Syndrome in a Child with Ischemic Colitis
Yang-Hyun Kim, Sun-Young Ahn, Ji-Min Park, Jae-Seung Lee
1Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
2Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
3Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
4Department of Pediatrics, The Institute of Kidney Disease, Yonsei University College of Medicine
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ABSTRACT
Hemolytic uremic syndrome(HUS) is characterized by acute renal failure, microangiopathic hemolytic anemia, and thrombocytopenia and the most common pathogen is Escherichia coli (E. coli) O157 : H7. Ischemic colitis, which rarely occurs in children, is due to the reduced local blood flow to the intestine, tissue necrosis and secondary bacterial infection. We describe a patient who was admitted with abdominal pain, vomiting and hematochezia, and diagnosed as ischemic colitis by barium enema. This patient showed hemolytic anemia, thrombocytopenia and progressive renal failure and was subsequently diagnosed as hemolytic uremic syndrome. After hemodialysis, the patient showed improvement of symptoms and resolution of renal failure and ischemic colitis.
Key words: Hemolytic uremic syndrome | Ischemic colitis
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