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Postpartum Hemolytic Uremic Syndrome Late Recovery After Prolonged Maintenance Dialysis

Allen R. Nissenson, MD; Frank A. Krumlovsky, MD; Francesco del Greco, MD
JAMA. 1979;242(2):173-175. doi:10.1001/jama.1979.03300020043026.
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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


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