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KMID : 0604020140290010043
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Korean Journal of Critical Care Medicine
2014 Volume.29 No. 1 p.43 ~ p.47
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Delayed Hemolytic Uremic Syndrome Presenting as Diffuse Alveolar Hemorrhage
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Hong Ji-Young
Jung Ji-Ye
Kang Young-Ae
Bae Yoon-Sung
Kim Young-Sam
Kim Se-Kyu
Chang Joon
Park Moo-Suk
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Abstract
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Hemolytic uremic syndrome (HUS) is defined by the triad of mechanical intravascular hemolytic anemia with schistocytosis, thrombocytopenia and acute renal failure. Pulmonary involvement in HUS is known to be rare. We present the case of a 25-year-old male with diffuse alveolar hemorrhage and myocarditis followed by atypical hemolytic uremic syndrome. In this case, successful treatments included steroid pulse therapy for the fatal alveolar hemorrhage and plasma exchange for the hemolytic uremic syndrome.
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KEYWORD
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hemolytic-uremic syndrome, hemorrhage, plasma exchange
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