The Foundation for Children with Atypical HUS

Hello everyon!!!

It's been awile since i updated on Anna. She is been doing well and enjoying gymnastics. Today we had our visit with our doctor, Annas labs continue stay where we like them too. They took her off blood pressure medication one medication less ;-) We also had disscation on some testing they did in the begining this year so she is positive for CD46 and she just below range for Factor B normal for it was 20-51 and hers is 19, so our doctor dosen't know really if that is shows she does has Factor B or not it's just one point low.

I have a question if you have Factor B what are the numbers and what should we do with this result or should we re do?

Thanks

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Comment by Grace on September 15, 2011 at 9:56pm

I so glad to hear Anna is doing well!

There is a new paper just out (I put a link in the research forum) that has a table on protein levels for different mutations. Factor B is normal or decreased in most mutations (including CFB itself). The protein levels are not as conclusive as genetic sequencing, though there are many unanswered questions there as well. 

I find it interesting that for many of the normal ranges of complement factors, the lower limit is less than half of the upper limit. I'm inclined to believe that the lower limit is indeed low, but that's my own speculation. I don't know how much you'd gain by repeating the test, but that's for you and your doctors to decide. E.g., if it would convince insurance to pay for something Anna needs, then good.

 

Factor B is something of the "new kid on the block". It's been known for a couple years, but it is also thought to be mutated in less than 5% of aHUS cases. So I think there is less information out there.

Comment by Cheryl Biermann on September 13, 2011 at 8:18pm

Good luck, with all the help on our site, perhaps someone will see this sooner or later and give you some  good facts, or, the doctors on the list on the home page might have some answers too.

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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!
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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.
  
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