What happens in this disease?
The complement system is a part of the immune system that attacks germs. In aHUS, this system works out of control. It damages the inner lining of the blood vessels, and small clots form. The clots mainly affect the blood vessels of the kidneys. The brain, heart, lungs and gut can also be affected. An attack is often triggered by an infection or pregnancy.
Which symptoms can occur?
The disease can begin at any age. The first symptoms may be vague.
- Tiredness, irritability and weakness
- Paleness, yellowing and shortness of breath
- Easy bruising and bleeding
- Blood and protein in the urine
- High blood pressure
- Sudden decline in kidney function
- Symptoms related to the brain, heart or gut
How is it diagnosed?
Blood tests show anemia, breakdown of blood and low platelets. Kidney tests and a urine examination are done. To tell it apart from typical HUS, the stool is tested for bacteria that cause diarrhea. Genetic tests and antibody tests help with the diagnosis.
Treatment and care
There are approved treatments specific to the disease that block the complement system. A meningitis vaccine is given before these treatments. Plasma exchange and plasma infusion are methods that have long been used. If the kidneys fail, dialysis may be needed. Some people may have a kidney transplant. Genetic testing is recommended before a transplant. The doctor who follows the disease decides which treatment is suitable.
For the family: inheritance and genetic counselling
In most patients, no one else in the family is affected. A gene change creates a tendency toward the disease, but on its own it is usually not enough. When it runs in a family, it is mostly passed on through dominant inheritance. In this case, a parent who carries the gene has a 1 in 2 chance of passing it to each child. Not everyone who carries the gene becomes ill. Less often, recessive inheritance is also seen. Genetic counselling helps in understanding the risk.