How Is aHUS Diagnosed?
It's important to accurately diagnose aHUS because it has signs and symptoms similar to those of other diseases1,2
Some of the signs and symptoms of aHUS include: confusion; diarrhea, nausea and vomiting; shortness of breath; fatigue; heart symptoms and kidney symptoms.1,3,4
Certain lab tests can help your doctor determine if you may have aHUS. In particular, he or she can look at your red blood cell and platelet counts to see if they are low. Creatinine levels can be measured to see how well your kidneys are working. Although aHUS is a genetic disease, testing for specific genes is not necessary for your doctor to diagnose and manage aHUS. The ADAMTS13 laboratory test can help differentiate aHUS from other diseases.1,5
Testing for Similar Illnesses
Because aHUS is so rare, there is a lot for you and your doctors to learn about it. Many of the signs and symptoms can be confused with other illnesses that also cause TMAs in your system.1
70% of patients with aHUS have a coexisting disease or condition due to another distinct underlying cause.4
Diagnosis of a coexisting disease or condition should not rule out a diagnosis of aHUS1
Thrombotic thrombocytopenic purpura (TTP) causes clots that damage small blood vessels in the body. But TTP is caused by low levels of a protein in the blood called ADAMTS13. If a patient has less than 5% of normal ADAMTS13 levels, then TTP is the likely disease.1,2
STEC-HUS is caused by an E coli infection. People who have this disease are most likely to have diarrhea. A doctor can check the patient's stool sample to see if STEC bacteria or shiga toxin are present. If you have been told you have STEC-HUS but your symptoms don't go away, you may actually have aHUS. Talk with your doctor if your symptoms reoccur.1,7
1. Laurence J, et al. Clin Adv Hematol Oncol. 2016;14 Suppl 11(11):2-15. 2. Azoulay E, et al. Chest. 2017;152(2):424-434. 3. Legendre CM, et al. N Engl J Med. 2013;368(23):2169-2181. 4. Noris M, et al. Clin J Am Soc Nephrol. 2010;5(10):1844-1859. 5. Caprioli J, et al. Blood. 2006;108(4):1267-1279. 6. Noris M, et al. Nat Rev Nephrol. 2012;8(11):622-633. 7. Campistol JM, et al. Nefrologia. 2015;35(5):421-447.