POSTPARTUM hemolytic uremic syndrome (HUS) is a condition of obscure origin with grave prognostic implications. Of the 40 cases described to date, 80% of the patients have died, and 15% have required maintenance dialysis or renal transplantation. Only 5% have recovered, and all of these showed improvement within one month.1
We describe a patient with postpartum HUS and renal failure who recovered much later than previously reported, after more than a year of receiving maintenance dialysis.
Report of a Case
A 28-year-old woman (gravida 2, para 0) was admitted to the Prentice Women's Hospital at the 28th week of pregnancy because of mild hypertension and protein-uria. Her first pregnancy five years earlier was interrupted by a spontaneous abortion at 15 weeks. During the current pregnancy, she gained 11.4 kg during a seven-month period, and her blood pressure (BP) had increased from 110/60 to 150/70 mm Hg. Results of urinalysis