REYE SYNDROME

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	REYE SYNDROME
	*REYE SYNDROME*

REYE SYNDROME

Syndrome of Reye

The infrequent sequel of an infection in children and adolescents that interests to the brain and other main organs, like liver and kidneys.

It is a hereditary disorder of the metabolism of the porfirinas.

The porfirinas are products of the metabolism of the hemoglobina, among other corporal proteins, and these diseases cause their accumulation.

Complications

Permanent cerebral injury, comma or death caused by the pressure on the brain.

Injuries in other affected organs, like renal or hepática insufficiency.

Prognosis

With treatment, 80% of the patients survive.

The majority recovers completely although some times are left injuries cerebral of different importance.

Diagnosis and treatment

Diagnosis

File and recognition by a doctor.

Analysis of blood or the hepática function and an analysis of the cerebroespinal liquid.

Treatment

General measures

None in special.

Medication

His doctor can prescribe:

Liquids by intravenous route.

Anticoagulating drugs to prevent the formation with blood clots during a permanence prolonged in bed.

Drugs like dexametasona to reduce the cerebral inflammation.

Antibiotics to treat the possible secondary bacterial infections.

Activity

If it is necessary, to keep bed until it sends the stage acute.

The television can be read or be watched.

Later, the normal activities can be retaken gradually.

Diet

None in special.

Signs and symptoms

Confusion.

Lethargy.

Changes of the personality.

Convulsions.

Weakness and paralysis in a leg or an arm.

Double vision.

Difficulties of diction.

Auditory loss.

Progressive sleepiness until the coma.

Factors of risk

Familiar antecedents of porfiria.

The drug use like contraceptive pills, alcohol, barbiturates, does not cause the disease but it can cause attacks.

Causes

Strangers.

In general, this syndrome appears after a víral infection.

Some studies connect it to the use of the aspirin during a viral disease, specially varicela and the influenza.

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