Article
C3 mutation-associated atypical hemolytic uremic syndrome with severe renal dysfunction and hypertensive emergency successfully treated with ravulizumab and sacubitril/valsartan: a case report.
BMC nephrology - 12 Feb 2026
Yanagidani Hiroki, Maeoka Yujiro, Yoshida Maria, Ueda Mayuko, Kumano Mari, Takahashi Akira, Okubo Aiko, Kato Noritoshi, Maruyama Shoichi, Masaki Takao
Abstract excerpt
BACKGROUND: Atypical hemolytic uremic syndrome (aHUS) is a rare complement-mediated thrombotic microangiopathy characterized by microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury. Although C5 inhibitors, such as eculizumab and ravulizumab, have markedly improved outcomes, renal recovery remains limited in cases complicated by hypertensive emergency (HE) or malignant hypertension, likely...
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