Erschienen in:
01.08.2013 | Brief Report
Eculizumab therapy for atypical haemolytic uraemic syndrome due to a gain-of-function mutation of complement factor B
verfasst von:
Rodney D. Gilbert, Darren J. Fowler, Elizabeth Angus, Stephen A. Hardy, Louise Stanley, Timothy H. Goodship
Erschienen in:
Pediatric Nephrology
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Ausgabe 8/2013
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Abstract
Background
Atypical haemolytic uraemic syndrome (aHUS) is caused by dysregulated complement activation. A humanised anti-C5 monoclonal antibody has recently become available for treatment of this condition
Case-Diagnosis/Treatment
We present the first description of an infant with an activating mutation of complement factor B successfully treated with eculizumab. On standard doses she had evidence of ongoing C5 cleavage despite a good clinical response.
Conclusions
Eculizumab is effective therapy for aHUS associated with factor B mutations, but recommended doses may not be adequate for all patients.