Research Article

Anti-Factor H Antibodies in Egyptian Children with Hemolytic Uremic Syndrome

Table 4

Treatment regimens and different outcomes among HUS patients.

ParameterTypical HUS (n = 22)Anti-FH-positive aHUS (n = 12)Anti-FH-negative aHUS (n = 16)

A: treatment regimens
 Renal dialysis15 (68.2%)10 (83.4%)12 (75.1%)
 PEX ± FFP03 (25%)6 (37.5%)
 FFP transfusion only1 (4.5%)4 (33.3%)10 (62.5%)
 Combined PEX + IS other drugs05 (41.7%)0
 Diuretics21 (95.5%)11 (91.7%)15 (93.8%)
 Anticonvulsants1 (4.5%)01 (6.3%)

B: different outcomes
 CR with full renal recovery21 (95.5%)6 (50%)7 (43.8%)
 Adverse outcome
  CRF04 (33.3%)5 (31.3%)
  Other organ complications01 (8.3%)2 (12.5%)
  Death1 (4.5%)1 (8.3%)2 (12.5%)

C: anti-FH titer in relation to disease outcome in the anti-FH-positive aHUS
Disease outcomeComplete remission (n = 6)Adverse sequela/deaths (n = 6)p value
Anti-FH titer (mean ± SD) in AU/ml3399.2 ± 3487.93481.7 ± 2365.10.9

PEX: plasma exchange, FFP: fresh frozen plasma, IS: immunsupressants, CR: complete remission, and CRF: chronic renal failure. Analysis was done using chi-square test.