Table 1.
Name | Causes |
---|---|
STEC-HUS | Infection with Shiga toxin–secreting strains of Escherichia coli or Shigella dysenteriae |
Pneumococcal-HUS | Infection with neuroaminidase-producing Streptococcus pneumoniae |
Atypical HUS | |
Complement-mediated | Mutations (mostly heterozygous) in CFH, CFI, MCP, C3, CFB, and THBD genes; genomic rearrangements of CFH/CFHR loci; anti-CFH autoantibodies |
DGKE-deficiency associated | Homozygous and compound heterozygous mutations in the DGKE gene |
Cobalamin deficiency–associated HUS | Homozygous mutations in the MMACHC gene |
Secondary HUS | Drugs (quinine, VEGF inhibition, antiviral, cancer chemotherapy), autoimmune diseases (SLE, scleroderma, antiphospholipid syndrome), malignancy, bone marrow transplantation |
Abbreviations: CFB, complement factor B; CFH, complement factor H; CFHR, complement factor H–related; CFI, complement factor I; DGKE, diacylglycerol kinase ε; HUS, hemolytic uremic syndrome; MCP, membrane cofactor protein; MMACHC, methylmalonic aciduria and homocystinuria type C; STEC-HUS, Shiga-like toxin–producing Escherichia coli HUS; SLE, systemic lupus erythematosus; THBD, thrombomodulin; VEGF, vascular endothelial growth factor.