Characteristics of 49 children with diabetes during acute D+HUS reported in the literature, 1966 to present
Characteristic | Median or no. with characteristic (range) | Percent with characteristic |
---|---|---|
Age (years) | 2.5 (1.5–9) | — |
Female | 15 of 24 | 63 |
Diarrhea | 40 of 40 | 100 |
Bloody diarrhea | 12 of 13 | 92 |
Ketoacidosis | 7 of 11 | 64 |
CNS symptoms | 21 of 25 | 84 |
Acute dialysis | 31 of 31 | 100 |
Peritoneal dialysis | 21 of 27 | 78 |
Diazoxide | 3 of 19 | 16 |
Steroids | 0 of 14 | 0 |
Insulin | 38 of 44 | 86 |
Death | 10 of 44 | 23 |
Follow-up (months) | 12 (2–180) | — |
Persistent diabetes requiring insulin* | 11 of 34 | 32 |
Relapse after initial recovery* | 2 of 34 | 6 |
Complete recovery* | 21 of 34 | 62 |
ESRD* | 4 of 19 | 21 |
Other renal sequelae* | 6 of 13 | 46 |
Exocrine pancreatic disease† | 7 of 20 | 35 |
↵* In survivors.
↵† Defined as increased amylase or lipase, absent fecal chymotrypsin with increased fecal fat and pancreatic calcifications, and need for pancreatic enzyme replacement. CNS, central nervous system; ESRD, end-stage renal disease requiring permanent renal replacement therapy (see text for details).