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Archives of Disease in Childhood 2001;85:351-353; doi:10.1136/adc.85.5.351
Copyright © 2001 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.
Arch Dis Child 2001;85:351-353 ( November )

Leading article

Reye syndrome---insights on causation and prognosis

The first 150 words of the full text of this article appear below.

    Introduction

Reye syndrome (RS) is an abrupt insult to mitochondria manifesting as acute encephalopathy, selective hepatic dysfunction, and fatty infiltration of the viscera---as originally described in 1963 (see Wood1). Causation, however, remains unclear, especially the role of aspirin in possible pathogenesis.1 Although prompt recognition and intensive therapy is essential to full recovery, a paucity of cases in recent years has meant that few younger paediatricians have any personal experience. This and a spate of recent literature---clinical and scientific---has prompted this review.


    Background

RS is a biphasic illness. A viral prodrome---with infection of the upper respiratory tract or bowel, or varicella---is followed several days later by an abrupt onset of encephalopathy heralded as profuse, effortless vomiting. The rate and degree of neurological decline vary. Raised intracranial pressure from brain swelling is usually thought to cause death or neurological injury.

The British Paediatric Surveillance Unit defines RS as an . . . [Full text of this article]


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eLetters:

Read all eLetters

Reye Syndrome: an outdated notion
Maria Casteels-Van Daele, et al.
ADC Online, 23 Jan 2002 [Full text]

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