ISSN 1006-298X      CN 32-1425/R

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肾脏病与透析肾移植杂志 ›› 2024, Vol. 33 ›› Issue (6): 551-554.DOI: 10.3969/j.issn.1006-298X.2024.06.011

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关于非典型溶血尿毒综合征重新命名专家讨论精萃

  

  • 出版日期:2024-12-28 发布日期:2025-01-03

A convergence of expert discussion on the atypical hemolytic uremic syndrome nomenclature

  • Online:2024-12-28 Published:2025-01-03

摘要:

自 1970 年代中期开始使用非典型溶血尿毒综合征这一术语,相较于具有流行病学特征且表现典型的溶血尿毒综合征,其最初被用于描述家族性或散发性的病例。    随着时间的推移,非典型溶血尿毒综合征的定义逐渐演变为非志贺毒素相关的溶血尿毒综合征。     多种病因迥异、高度异质的疾病均被命名为非典型溶血尿毒综合征,这不利于疾病的研究以及提供针对性的治疗。   为此美国国家肾脏基金会工作组成立血栓性微血管病专家组, 采用德尔菲法,对非典型溶血尿毒综合征命名相关的一些关键问题进行定义和探讨。

Abstract:

 The  term  atypical  hemolytic  uremic  syndrome  (aHUS)  has  been  used  since  the  mid⁃1970s.  It  was originally used  to  describe  the  familial  or  sporadic  cases,  as  opposed  to  the  typical  hemolytic  uremic  syndrome  with epidemiological characteristics. Over time, the term aHUS has evolved to include any form of hemolytic uremic syndrome that is not associated with Shiga toxin. Diseases with distinct etiologies and high heterogeneity are uniformly referred to as aHUS, which impedes the  study  of  specific  diseases  and  the  provision  of  targeted  therapies.  Recently,  the  United  States  National Kidney Foundation (NKF)  working group established a specialty⁃specific expert  group in the thrombotic microangiopathies, utilizing the Delphi approach to define and discuss several key issues related to the nomenclature of aHUS.

Key words:

hemolytic uremic syndrome   , thrombotic microangiopathy   , complement   , nomenclature