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November 21, 2009
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Hemolytic Uremic Syndrome
(HUS)

Medical Author: Benjamin C. Wedro, MD, FAAEM
Medical Editor: Melissa Conrad Stöppler, MD

What is a "syndrome?"

The definition of a syndrome in medicine is a collection of symptoms (patient complaints), signs (findings on physical examination), and laboratory or imaging findings that tend to group together and be associated with a specific disease or illness.

What is hemolytic uremic syndrome (HUS)?

Hemolytic uremic syndrome (HUS) is a disease of blood clotting within the capillaries, the smallest blood vessels in the body. As red blood cells pass through the clogged capillaries, they are sheared apart and broken. This is called hemolysis and accounts for the first part of the syndrome's name. The other half of the syndrome's name refers to kidney failure in which urea and other waste products build up in the bloodstream because the kidney cannot filter and dispose of them. (urea=a waste chemical + emia= in the blood).

HUS is also related to another disease caused by a similar clotting process within the capillaries called thrombotic thrombocytic purpura (TTP). Within the medical literature, these two conditions are often considered together. HUS is more widely known, however, because it has been discussed in the press because of its relationship to a special type of E. Coli (Escherichia coli) infection associated with food poisoning.



Next: What causes hemolytic uremic syndrome? »

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Hemolytic Uremic Syndrome

What are the kidneys?

The kidneys play key roles in body function, not only by filtering the blood and getting rid of waste products, but also by balancing levels of electrolytes in the body, controlling blood pressure, and stimulating the production of red blood cells.

The kidneys are located in the abdomen toward the back, normally one of each side of the spine. They get their blood supply through the renal arteries directly from the aorta and send blood back to the heart via the renal veins to the vena cava. (The term "renal" is derived from the Latin name for kidney.)

The kidneys have the ability to monitor the amount of body fluid, the concentrations of electrolytes like sodium and potassium, and the acid-base balance of the body. They filter waste products of body metabolism, like urea from protein metabolism and uric acid from DNA breakdown. Two waste products in the blood can be measured: blood urea nitrogen (BUN) and ...

Read the Kidney Failure article »










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