Abstract

INTRODUCTION Hemolytic uremic syndrome (HUS) is not only known by its approved drug Eculizumab, the most expensive medicine up to now (An annual drug cost US $573,720 per patient), but also by its catastrophic outcomes (70% of patients progress to death or renal failure in less than 1 year after the onset). In the absence of repetitive infections, this ultra-rare form of thrombotic microangiopathy (TMA) is qualified by the “atypical” form of HUS (aHUS). The factor H related- aHUS (fH-aHUS) belongs of this latter and represents more than a half of the aHUS. It is caused by genetic or acquired autoimmune defects of the alternative complement pathway regulation by the factor H.

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