ORIGINAL ARTICLES

May 2014 39. Shah V, Alwassia H, Shah K, Yoon W, Shah P. Neonatal outcomes among multiple births #32 weeks gestational age: does mode of conception have an impact? A cohort study. BMC Pediatr 2011; 11:54. 40. Turker G, Doger E, Arisoy AE, Gunlemez A, Gokalp AS. The effect of IVF pregnancies on mortality and morbidity in tertiary unit. Ital J Pediatr 2013;39:17. 41. Longo DR, Kruse RL, LeFevre ML, Schramm WF, Stockbauer JW, Howell V. An investigation of social and class differences in very-low birth weight outcomes: a continuing public health concern. J Health Care Finance 1999;25:75-89. 42. Harteman JC, Groenendaal F, van Haastert IC, Liem KD, Stroink H, Bierings MB, et al. Atypical timing and presentation of periventricular haemorrhagic infarction in preterm infants: the role of thrombophilia. Dev Med Child Neurol 2012;54:140-7. 43. O’Leary H, Gregas MC, Limperopoulos C, Zaretskaya I, Bassan H, Soul JS, et al. Elevated cerebral pressure passivity is associated with prematurity-related intracranial hemorrhage. Pediatrics 2009; 124:302-9.

44. Tuzcu V, Nas S, Ulusar U, Ugur A, Kaiser JR. Altered heart rhythm dynamics in very low birth weight infants with impending intraventricular hemorrhage. Pediatrics 2009;123:810-5. 45. Russell RB, Petrini JR, Damus K, Mattison DR, Schwarz RH. The changing epidemiology of multiple births in the United States. Obstet Gynecol 2003;101:129-35. 46. Branum AM, Schoendorf KC. Changing patterns of low birthweight and preterm birth in the United States, 1981-98. Paediatr Perinat Epidemiol 2002;16:8-15. 47. Seifer DB, Frazier LM, Grainger DA. Disparity in assisted reproductive technologies outcomes in black women compared with white women. Fertil Steril 2008;90:1701-10. 48. Seifer DB, Zackula R, Grainger DA. Trends of racial disparities in assisted reproductive technology outcomes in black women compared with white women: Society for Assisted Reproductive Technology 1999 and 2000 vs. 2004-2006. Fertil Steril 2010;93:626-35. 49. Fujimoto VY, Luke B, Brown MB, Jain T, Armstrong A, Grainger DA, et al. Racial and ethnic disparities in assisted reproductive technology outcomes in the United States. Fertil Steril 2010;93:382-90.

50 Years Ago in THE JOURNAL OF PEDIATRICS The Hemolytic-Uremic Syndrome

Gianantonio C, Vitacco M, Mendilaharzu F, Rutty A, Mendilaharzu J. J Pediatr 1964;64:478-91

T

his landmark article was the first large series and description of the hemolytic uremic syndrome (HUS), which continues to be a common cause of renal failure in children. The authors studied 58 children with HUS and described their clinical and laboratory findings, management, and long-term outcome. This was the largest and first comprehensive study of HUS in children. The authors found that HUS usually developed after a diarrheal illness that was often bloody. They found that the severity of renal failure and central nervous system abnormalities influence the frequency of sequelae, a finding that still stands today. Interesting, the authors considered an infectious etiology for HUS, and a viral cause was considered likely in some cases. A little over 20 years after this article was published, another landmark article was published that described the association of HUS with enteropathogenic Escherichia coli serotype O157:H7.1 Other E coli serotypes have also been associated with HUS. These children were quite uremic with the average blood urea nitrogen of 278  103 mg/dL, and the overall mortality in this group of children was 29%; several had hypertension and/or chronic kidney disease at follow-up. The children were treated with kayexalate, blood transfusions, exchange transfusion, and occasional peritoneal dialysis. Fortunately, today the mortality is much reduced to less than 5% in most studies, but chronic kidney disease continues to be a long-term complication.2 Since the publication of this report, these and subsequent investigators from this institution in Buenos Aires continue to contribute important knowledge about HUS in children.2-4 Sharon P. Andreoli, MD Division of Pediatric Nephrology James Whitcomb Riley Hospital for Children Indianapolis, Indiana

References

http://dx.doi.org/10.1016/j.jpeds.2013.10.077

1. Karmali MA, Petric M, Lim C, Cheung R, Arbus GS. The association between idiopathic hemolytic uremic syndrome and infection by verotoxinproducing E. coli. J Infect Dis 1985;151:775-82. 2. Caletti MG, Gallo G, Gianantonio CA. Development of focal segmental sclerosis and hyalinosis in hemolytic uremic syndrome. Pediatr Nephrol 1996;10:687-92. 3. Repetto HA. Epidemic hemolytic uremic syndrome in children. Kidney Int 1997;52:1708-19. 4. Spizzirri FD, Rahman RC, Bibiloni N, Ruscasso JD, Amoreo OR. Childhood hemolytic uremic syndrome in Argentina: long-term follow up and prognostic features. Pediatr Nephrol 1997;11:156-60.

Maternal Race, Demography, and Health Care Disparities Impact Risk for Intraventricular Hemorrhage in Preterm Neonates

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50 years ago in the journal of pediatrics: the hemolytic-uremic syndrome.

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