STEC-HUS |
Infection with Shiga toxin–producing Escherichia coli or less frequently with Shigella dysenteriae. The most common cause of HUS in children. |
TTP |
Deficiency of ADAMTS13 hereditary (Upshaw-Shulman syndrome) or acquired that causes by ADAMTS13 inhibitor. |
aHUS, complement regulation abnormality |
Congenital |
Genetic mutations of complement proteins |
Acquired |
Autoantibodies against complement proteins, such as anti-factor H antibody |
Secondary TMA |
Cobalamin metabolism disorder |
Drug-induced |
Chemotherapeutic agents (e.g., gemcitabine, mitomycin) |
Immunosuppressive agents (e.g., cyclosporine, tacrolimus) |
Antiplatelet agents (e.g., ticlopidine) |
Infection |
Pneumococcus, human immunodeficiency virus, pertussis, influenza, varicella |
Pregnancy-related |
Preeclampsia/eclampsia, hemolysis, elevated liver HELLP |
Auto-immune disease, collagen disease |
Systemic lupus erythematosus, systemic sclerosis, polymyositis/dermatomyositis |
Bone marrow transplant, organ transplant-related |