The Foundation for Children with Atypical HUS

Elizabeth Farrell
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  • Lisa Barker
  • maria vicenta carratala rios
  • Lisa Goble
  • Cheryl Biermann
  • Colette Ann Frysz
  • Svetlana Finley

Elizabeth Farrell's Discussions

Auto-immune disease association with aHUS?
26 Replies

My question - is there a possibility? I read somewhere that if genetic testing came back negative that auto immune deficiency should be investigated. We only recently had the results of our…Continue

Started this discussion. Last reply by Joy Lewis O'Brien Nov 7, 2011.

 

Elizabeth Farrell's Page

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Joy Lewis O'Brien replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"Len, I'm very curious about this as well, and I'm keeping my eyes open for any research on correlation between aHUS and any other disorders. If I see anything, I'll let you know! Joy"
Nov 7, 2011
Len Woodward replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"  This has been an interesting discussion. Our family is acquainted with  both AntiPhospholipids Syndrome(an auto immune condition) as well as aHUS. APS is linked to miscarriages and premature births due to clotting. It makes you…"
Oct 24, 2011
Elizabeth Farrell and Lisa Barker are now friends
Oct 7, 2011
Elizabeth Farrell replied to Newbie's discussion Anyone ever experience aHUS and not have it reoccur?
"Hi Newbie! My daughter was taken ill 3 years ago and diagnosed with atypical HUS. She has not had a recurrence but we are very aware that it is possible. Her genetic testing came back inconclusive and we are still awaiting the results of antibody…"
Jun 1, 2011
Elizabeth Farrell and maria vicenta carratala rios are now friends
Jun 1, 2011
Stacey replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"Hi all. We live in the UK and my son's bloods were sent straight to France for testing. He also tested positive for aHUS with factor H with a mutation at the terminal end SCR 20."
Sep 5, 2010
Theresa Pereira replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"I am very fortnate that all is free in Canada... "
May 21, 2010
Cheryl Biermann replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"Your welcome, I am just happy to pass the information along! "
May 21, 2010
Kerri Grey replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"HI Elizabeth, I am not entirely sure but i think the tests that you mentioned (factor H, I and MCP) are the ones that Ash had tested in the UK, i think he had the others done in France but i am going to check next week with Ash's doc if he has…"
May 21, 2010
Elizabeth Farrell replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"Thanks for the info Kerri. Funny you should mention the cost of testing as I got the distinct impression that the testing done in the UK was within financial constraints. I have checked out the mutations tested for in Iowa, as Linda suggested, and…"
May 20, 2010
Kerri Grey replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"Hi Elizabeth, Im not sure which test were done where but yes the UK and France did do different tests, they both looked for different mutations. If you like i can try and find out from Ash's doc which tests were done in the UK and which ones…"
May 19, 2010
Theresa Pereira replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"Thanks for the info Kerri. Glad to hear they test differently. I have had Germany and Italy come up all negative. Maybe France will find us answers.... "
May 19, 2010
Cheryl Biermann replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"If you would like to send blood work to the University of Iowa, it is very doable, even from across the seas. With a few extra precautions, you can have the most comprehensive testing available to my knowledge. "
May 19, 2010
Linda Burke replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"Hi there, If you click on the University of Iowa's genetic testing link on this website's 'Links Box' on the Home Page, their MORL laboratory's (CLIA- accredited) page has good info. On their left hand side of the MORL Home…"
May 19, 2010
Elizabeth Farrell replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"Hi Kerri & Linda - interesting discussion! Amy's blood has only been tested in the UK and when we asked if there was anywhere else which might do more "thorough" testing we were told no. Kerri, I would be interested to know what…"
May 19, 2010
Kerri Grey replied to Elizabeth Farrell's discussion Auto-immune disease association with aHUS?
"HI Linda, I'm very much the same, i would love to know...However from what i know(very little when it comes to genetic testing) Ash has been tested for all know genetic mutations. I would love to find out if there was a lab though that did do…"
May 19, 2010

Profile Information

Birthday
August 23
Do you have a friend or family member diagnosed with aHUS?
Yes
Are you medical personnel or an aHUS researcher with an interest in aHUS issues?
No
My child ( or myself as a patient) is best described as:
Tested but Results are Inconclusive

The reason I joined this foundation......

My eldest daughter, Amy, was diagnosed with AHUS 2 years ago when she was 12. We had been home from a holiday in Egypt for just six days when Amy was taken ill. She had gone to stay at a friend's house for the night and I got a call the next morning to say she had been sick during the night. By the time we went to collect her she had vomited several times and continued to do so very violently for the next 24hours. When her eyes turned yellow we knew there was something seriously wrong and took her to an emergency clinic. The doctor there suspected hepatitis, as we had been abroad, and sent us to A & E in the local hospital. In the hours there, the vomiting decreased and she passed the darkest, smelliest urine I have ever known. Several bloodtests were done before I was taken into a the doctor's pffice and told that Amy's kidneys and liver were not functioning properly. We were then rushed to the renal unit at Great Ormond Street Hospital in London. We were given a diagnosis of HUS immediately and told of the possible progression of the condition and need for transfusions and dialysis. Amy was obviously very lucky and escaped the need for either of those procedures. Although her creatinine levels were soaring and her anaemia worsening she continued to produce small amounts of urine. On the 4th day of her hospitalization, just as I had reached the lowest point, her bloods showed an improvement! Amy was discharged for homecare from a nurse after a week and took folic acid and iron for her anaemia, plus a fortified drink to try to help her regain some of the lost weight. (Interestingly, once she was able to drink, she was encouraged to drink sugary drinks in the hospital as this helps break down the urea which had built up.).
We left the hospital believing Amy had suffered HUS as a result of an e-coli infection contracted whilst in Egypt and that although the recovery would be slow she would return to normal and never be able to contract the disease again. It was, therefore, a total shock when we found out a few weeks later that no evidence of e-coli or any other known bacteria had been found. and Amy was firmly in the Atypical HUS camp. She has been genetically tested for the 3 main known component mutations and we just found out the results were all negative. So far Amy has remained healthy and has not a recurrence, for which we are all truly grateful, but every runny nose or sign of lethargy brings fresh anxiety.This site has broken my heart with some of the stories I have read but also offered comfort. That other people understand the issues involved and are interested in the same questions as myself and my husband provides enormous relief. Thank you.









Comment Wall (8 comments)

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At 12:50pm on May 11, 2010, Lisa Goble said…
Elizabeth, forgot to mention that Lydia does not fit into any category either!
At 12:49pm on May 11, 2010, Lisa Goble said…
hi Elizabeth. My daugher (adopted at birth) presented the disease in june, 2008. Remission was achieved in october, 2008 after many rbc, platelets, ff plasma, and 17 plasmapheresis treatments. She got a hospital born bacteria infect in her line which resulted in us pulling it and letting her fly on her own. She is medicated ( i can share list with you if you want) came home on 17 meds a day, and is now down to 6=) She is currently 10 yr old and hasnt shown any more presentation of aHUS...numbers are monitored OFTEN and we thank God DAILY for each day we get with her.
At 5:51pm on May 9, 2010, Sylwia Antkowiak said…
Hi Elizabeth
My daughter (6y old) is a patient of GOSH, we weren't so lucky and her disease quickly- within a few months led to renal failure. It was in april 2008. You mentioned that your daughter was diagnosed 2 years ago and you've spent some time in GOSH as well. Maybe we've even met? Anyway my daughter is on peritoneal dialysis awaiting to be transplanted with soliris. Glad you found this site and hope to speak to you soon.
At 12:08pm on May 8, 2010, Svetlana Finley said…
HI, Elizabeth
Welcome here and thanks for sharing your story. My daughter was first diagnosed when she was 4 then she had big brake almost 6 yr. then she had her second relapse. Like Cheryl saying it all comes to how well we know our kids to catch as early as we can. Anna never need it dialysis, only the plasma exchange. Her genetic testing came all normal. We don't really know why she has relapses, but watching her very close. I think our dr. next step is try to do auto immune testing.
At 5:51pm on May 7, 2010, Cheryl Biermann said…
Thank you for sharing your story. I am so happy she has been well for so long! I know of a few people whose occurences are several months to years apart, so I recommend the same thing Colette recommended. You know Amy better than anyone else, the obvious is to be on the look out for the same symptoms as last time. Other things to be careful of is whenever anyone in the house gets sick, be diligent about keeping her healthy, any little virus can spark a relapse, but in some lucky people, it is not every time. There are quite a few people who have no KNOWN genetic problems. Since Nathan was diagnosed, several new factors have come to light, so it may be they just haven't looked at enough genetics to have the full genetic picture.

From the beginning, the doctors told us that aHUS is like an auto immune disease, being that it seems the people with aHUS have relapses due to viruses and that these relapses tend to be severe. Co-morbidity is also an issue, and some of the things we have had to look at have been seizures,chorea, (sounds like Korea),athritis, (auto immune disease), renal bone disease, and parathyroid disease. Keep in mind this is after years of his body taking hits from the aHUS, not a one time event, and now being in complete renal failure. This is why it is so good you are careful to watch her closely, your much better off being a little cautious, than waiting too long and taking a big hit on her kidneys. The lethargy is a symptom of something going on, but it could also be the anemia you mentioned, if it is an on-going problem. Joy Lewis has a forum with links to great studies here on this site, which deals with most of the studies we know of, if you have problems interpreting the complex language, Amy's doctors could help you and some of our sharp medical types like Joy are also great at inerpreting the techno-speak to ding-bats like me, so I'm sure you'll have no problems!
At 4:51pm on May 7, 2010, Colette Ann Frysz said…
Hi Elizabeth! I'm glad you joined this site. It is a blessing in many ways. You had a question regarding the auto immune system in connection with aHUS. Yes there is belief that if the genetic factors don't exist that there could be auto immune activitiy going on. However as there is little know about the immune system, I don't think there's been much information on the subject. Even if there are genetic factors there still can be auto immune issues as well.

I have also known a patient to get typical HUS twice. This is also not a common situation but it has happened.

I guess what I would do is observe your daughter for any patterns or anything you think is significant even if your doctors don't. Sometimes you can put two and two together.

I hope to hear about your daughter again soon and her progress. Take care
At 1:26pm on May 6, 2010, Cheryl Biermann said…
Welcome here Elizabeth! We look forward to hearing from you and welcome your input!
At 8:59pm on May 5, 2010, Linda Burke said…
Welcome to the interactive website of the Foundation for Children with Atypical HUS. Please feel free to explore the site and let us know your interest areas - we look forward to hearing your story.
 
 
 

WELCOME - Friends, Family Members, Patients, and Researchers - JOIN US!

The Foundation for Children with Atypical HUS encourages patients and investigators to share information and explore options/resources as we work together to gain insight into this rare complement disorder. By increasing contact opportunities with researchers and medical personnel interested in helping the aHUS community, our stories foster a better understanding of atypical hemolytic uremic syndrome.

Sharing information, inspiration and support for one another, we seek to gather together people and knowledge as we strive to improve the lives of patients and families dealing with a diagnosis of aHUS.


NEW DIAGNOSIS OF aHUS?
Be proactive! Get the medical basics of aHUS, what lab values to monitor, and areas of concern...check out the "aHUS Bootcamp" and "About aHUS" tabs at the top of this page!
If your doctor has never treated a case of aHUS, please print out our 'Doc to Doc Registry' and ask him/her to contact a physician versed in the complexities of aHUS and new options for 2011 genetic testing and treatment.

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NOTE: Our 'Send a Message" function on each Member's page allows for private discussion of personal content. As with any social network, be cautious about giving personal contact information (home email info, phone number) until you have an established relationship with another person, organization, or associated website.

 

Did you know...

CFH (Serum Complement Factor H) is a regulatory protein. The secreted protein product of CFH consists of 20 repetitive units named "short consensus repeats" or SCRs (each approximately 60 amino acids). In patients with aHUS the last 5 "pearls" in the twenty pearl strand protein, SCR16 - SCR20, should bind to protect cells but do not- they are defective in one or more of the last 5 SCR locations. If they cannot bind or stick to the kidney to protect that tissue, the platelets clump into clots that affect the glomeruli of the kidney -potentially causing acute renal failure.
  
• • • • • • • • • • • •
  
It is estimated that there are about 300 cases of aHUS in the U.S., and it is most common with young children. The condition is life threatening and either can be chronic or can recur at intervals.
  
more factoids...

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