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- Reye Syndrome: an outdated notion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