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Plasma Exchange in a Patient with Post-abortion Hemolytic Uremic Syndrome
혈장교환술로 호전된 유산 후 발병한 용혈성요독증후군 1예
The Korean Society of Blood Transfusion 2008;19:261−265
Published online December 31, 2008
© 2008 The Korean Society of Blood Transfusion.

Shim Min-sung, Kim Yu-kyung, Suh Jang-soo
심민성ㆍ김유경ㆍ서장수
Abstract
Hemolytic uremic syndrome is characterized by microangiopathic hemolytic anemia, thrombocytopenia and severe renal failure. Microangiopathic thrombosis, thrombocytopenic purpura (TTP) and hemolytic uremic syndrome (HUS) seem to occur under the condition of certain stresses, including pregnancy. Therapeutic plasma exchange (TPE) has proven to be an effective treatment for HUS and it has decreased the mortality of this illness. We experienced a case of a 34-year-old woman who was admitted for renal failure to our hospital immediately after an abortion. She presented with anuria, hemolytic anemia and thrombocytopenia. Plasma exchange was started and substitution was performed with fresh frozen plasma and four consecutive plasmapheresis sessions were administered. After about five days from the beginning of her illness, the signs of active hemolysis disappeared and her renal function partially recovered. (Korean J Blood Transfus 2008;19:261-265)
Keywords : HUS, Plasma exchange, Abortion

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