Hemorrhage in Hemorrhagic Fever with Renal Syndrome in China
Hemorrhage is a prominent feature of hemorrhagic fever with renal syndrome (HFRS) in China. It occurs in all phases of the disease and is an important cause of death. Petechiae involving skin and oropharyngeal mucosa are the commonest manifestation of hemorrhage, occurring in more than 90% of patien...
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| Veröffentlicht in: | Reviews of infectious diseases 1989-05, Vol.11, p.S884-S890 |
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| creator | Guang, M Y Liu, G Z Cosgriff, T M |
| description | Hemorrhage is a prominent feature of hemorrhagic fever with renal syndrome (HFRS) in China. It occurs in all phases of the disease and is an important cause of death. Petechiae involving skin and oropharyngeal mucosa are the commonest manifestation of hemorrhage, occurring in more than 90% of patients. Gastrointestinal hemorrhage is the next commonest manifestation, occurring in ∼50% of patients. Suggested mechanisms of hemorrhage include vascular injury, thrombocytopenia and platelet dysfunction, disseminated intravascular coagulation, circulating heparin-like activity, and uremia. Controlled trials of treatment regimens for hemostatic impairment in HFRS have not been performed. Support of blood pressure can lessen hemorrhage by limiting the adverse consequences of hypotension and shock. Dialysis is of benefit in patients with hemorrhage and significant renal failure. |
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It occurs in all phases of the disease and is an important cause of death. Petechiae involving skin and oropharyngeal mucosa are the commonest manifestation of hemorrhage, occurring in more than 90% of patients. Gastrointestinal hemorrhage is the next commonest manifestation, occurring in ∼50% of patients. Suggested mechanisms of hemorrhage include vascular injury, thrombocytopenia and platelet dysfunction, disseminated intravascular coagulation, circulating heparin-like activity, and uremia. Controlled trials of treatment regimens for hemostatic impairment in HFRS have not been performed. Support of blood pressure can lessen hemorrhage by limiting the adverse consequences of hypotension and shock. Dialysis is of benefit in patients with hemorrhage and significant renal failure.</description><identifier>ISSN: 0162-0886</identifier><identifier>PMID: 2568678</identifier><identifier>CODEN: RINDDG</identifier><language>eng</language><publisher>Chicago, IL: University of Chicago Press</publisher><subject>Cerebral Hemorrhage - etiology ; China ; Epidemics ; Epidemiology ; Gastrointestinal Hemorrhage - etiology ; Hemorrhage ; Hemorrhage - blood ; Hemorrhage - etiology ; Hemorrhage - mortality ; Hemorrhage - therapy ; Hemorrhagic fever with renal syndrome ; Hemorrhagic Fever with Renal Syndrome - blood ; Hemorrhagic Fever with Renal Syndrome - complications ; Hemorrhagic Fever with Renal Syndrome - mortality ; Humans ; Infectious diseases ; Internal medicine ; Oral Hemorrhage - etiology ; Platelets ; Purpura ; Skin Diseases - etiology ; Uremia ; Vascular system injuries</subject><ispartof>Reviews of infectious diseases, 1989-05, Vol.11, p.S884-S890</ispartof><rights>Copyright 1989 The University of Chicago</rights><rights>1989 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/4454981$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/4454981$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,777,781,800,57998,58231</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=7226561$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/2568678$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guang, M Y</creatorcontrib><creatorcontrib>Liu, G Z</creatorcontrib><creatorcontrib>Cosgriff, T M</creatorcontrib><title>Hemorrhage in Hemorrhagic Fever with Renal Syndrome in China</title><title>Reviews of infectious diseases</title><addtitle>Rev Infect Dis</addtitle><description>Hemorrhage is a prominent feature of hemorrhagic fever with renal syndrome (HFRS) in China. It occurs in all phases of the disease and is an important cause of death. Petechiae involving skin and oropharyngeal mucosa are the commonest manifestation of hemorrhage, occurring in more than 90% of patients. Gastrointestinal hemorrhage is the next commonest manifestation, occurring in ∼50% of patients. Suggested mechanisms of hemorrhage include vascular injury, thrombocytopenia and platelet dysfunction, disseminated intravascular coagulation, circulating heparin-like activity, and uremia. Controlled trials of treatment regimens for hemostatic impairment in HFRS have not been performed. Support of blood pressure can lessen hemorrhage by limiting the adverse consequences of hypotension and shock. Dialysis is of benefit in patients with hemorrhage and significant renal failure.</description><subject>Cerebral Hemorrhage - etiology</subject><subject>China</subject><subject>Epidemics</subject><subject>Epidemiology</subject><subject>Gastrointestinal Hemorrhage - etiology</subject><subject>Hemorrhage</subject><subject>Hemorrhage - blood</subject><subject>Hemorrhage - etiology</subject><subject>Hemorrhage - mortality</subject><subject>Hemorrhage - therapy</subject><subject>Hemorrhagic fever with renal syndrome</subject><subject>Hemorrhagic Fever with Renal Syndrome - blood</subject><subject>Hemorrhagic Fever with Renal Syndrome - complications</subject><subject>Hemorrhagic Fever with Renal Syndrome - mortality</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Internal medicine</subject><subject>Oral Hemorrhage - etiology</subject><subject>Platelets</subject><subject>Purpura</subject><subject>Skin Diseases - etiology</subject><subject>Uremia</subject><subject>Vascular system injuries</subject><issn>0162-0886</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9z01LAzEQBuAclFqr_0BhD-JtIZ-TFLxIsVYoCH6clzSZdVP2oyZbpf_exS49DcP78A5zRqaUAc-pMXBBLlPaUqqEljAhE67AgDZT8rDCpouxsl-YhTY7bcFlS_zBmP2GvsresLV19n5ofeyaf7ioQmuvyHlp64TX45yRz-XTx2KVr1-fXxaP63w73OlzpvTGWqAKVUkpld55Jp3T3HMLQllZQolKWwkMOfNKIgCWgqEwArygYkbuj7272H3vMfVFE5LDurYtdvtU6Dk1YJgc4O0I95sGfbGLobHxUIzvDvndmNvkbF1G27qQTkxzDgrYwG6ObJv6Lp5iKZWcGyb-AMTlZOU</recordid><startdate>19890501</startdate><enddate>19890501</enddate><creator>Guang, M Y</creator><creator>Liu, G Z</creator><creator>Cosgriff, T M</creator><general>University of Chicago Press</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19890501</creationdate><title>Hemorrhage in Hemorrhagic Fever with Renal Syndrome in China</title><author>Guang, M Y ; Liu, G Z ; Cosgriff, T M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-j256t-157baa605e5f0004dcd14cc72d2a635a4f6fe57a461e21d54e66ef31e3836d303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Cerebral Hemorrhage - etiology</topic><topic>China</topic><topic>Epidemics</topic><topic>Epidemiology</topic><topic>Gastrointestinal Hemorrhage - etiology</topic><topic>Hemorrhage</topic><topic>Hemorrhage - blood</topic><topic>Hemorrhage - etiology</topic><topic>Hemorrhage - mortality</topic><topic>Hemorrhage - therapy</topic><topic>Hemorrhagic fever with renal syndrome</topic><topic>Hemorrhagic Fever with Renal Syndrome - blood</topic><topic>Hemorrhagic Fever with Renal Syndrome - complications</topic><topic>Hemorrhagic Fever with Renal Syndrome - mortality</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Internal medicine</topic><topic>Oral Hemorrhage - etiology</topic><topic>Platelets</topic><topic>Purpura</topic><topic>Skin Diseases - etiology</topic><topic>Uremia</topic><topic>Vascular system injuries</topic><toplevel>online_resources</toplevel><creatorcontrib>Guang, M Y</creatorcontrib><creatorcontrib>Liu, G Z</creatorcontrib><creatorcontrib>Cosgriff, T M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Reviews of infectious diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guang, M Y</au><au>Liu, G Z</au><au>Cosgriff, T M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hemorrhage in Hemorrhagic Fever with Renal Syndrome in China</atitle><jtitle>Reviews of infectious diseases</jtitle><addtitle>Rev Infect Dis</addtitle><date>1989-05-01</date><risdate>1989</risdate><volume>11</volume><spage>S884</spage><epage>S890</epage><pages>S884-S890</pages><issn>0162-0886</issn><coden>RINDDG</coden><abstract>Hemorrhage is a prominent feature of hemorrhagic fever with renal syndrome (HFRS) in China. It occurs in all phases of the disease and is an important cause of death. Petechiae involving skin and oropharyngeal mucosa are the commonest manifestation of hemorrhage, occurring in more than 90% of patients. Gastrointestinal hemorrhage is the next commonest manifestation, occurring in ∼50% of patients. Suggested mechanisms of hemorrhage include vascular injury, thrombocytopenia and platelet dysfunction, disseminated intravascular coagulation, circulating heparin-like activity, and uremia. Controlled trials of treatment regimens for hemostatic impairment in HFRS have not been performed. Support of blood pressure can lessen hemorrhage by limiting the adverse consequences of hypotension and shock. Dialysis is of benefit in patients with hemorrhage and significant renal failure.</abstract><cop>Chicago, IL</cop><pub>University of Chicago Press</pub><pmid>2568678</pmid></addata></record> |
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| ispartof | Reviews of infectious diseases, 1989-05, Vol.11, p.S884-S890 |
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| source | MEDLINE; Jstor Complete Legacy |
| subjects | Cerebral Hemorrhage - etiology China Epidemics Epidemiology Gastrointestinal Hemorrhage - etiology Hemorrhage Hemorrhage - blood Hemorrhage - etiology Hemorrhage - mortality Hemorrhage - therapy Hemorrhagic fever with renal syndrome Hemorrhagic Fever with Renal Syndrome - blood Hemorrhagic Fever with Renal Syndrome - complications Hemorrhagic Fever with Renal Syndrome - mortality Humans Infectious diseases Internal medicine Oral Hemorrhage - etiology Platelets Purpura Skin Diseases - etiology Uremia Vascular system injuries |
| title | Hemorrhage in Hemorrhagic Fever with Renal Syndrome in China |
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