Prognostic significance of microalbuminuria in postdiarrheal hemolytic uremic syndrome.

Publication/Presentation Date

1-1-2007

Abstract

Patients who survive the acute phase of postdiarrheal hemolytic uremic syndrome (D+ HUS) may develop renal complications after years of apparent recovery. The optimal regimen for monitoring these children is unclear. We therefore determined if screening for microalbuminuria, in the absence of overt proteinuria at follow-up, increased the sensitivity for predicting long-term renal-related sequelae. We found that screening for microalbuminurea, within the first 6-18 months following an episode of HUS, increased the sensitivity for predicting later sequelae from 22 to 66.7%, compared to screening for overt proteinuria alone. These findings, if confirmed by a larger cohort with more years of follow-up, may facilitate early initiation of intervention strategies designed to reduce progressive renal damage.

Volume

22

Issue

1

First Page

117

Last Page

120

ISSN

0931-041X

Disciplines

Medicine and Health Sciences

PubMedID

16967283

Department(s)

Department of Surgery, Department of Surgery Residents, Fellows and Residents

Document Type

Article

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