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Living with Atypical hemolytic-uremic syndrome

A condition that mainly affects the kidneys by forming abnormal blood clots in tiny blood vessels, and can occur at any age.

Understanding Atypical hemolytic-uremic syndrome

Atypical hemolytic-uremic syndrome is a disease that mainly affects kidney function by causing abnormal blood clots in small blood vessels of the kidneys.

It has three main features: red blood cells breaking down early (hemolytic anemia), a low platelet count (thrombocytopenia), and kidney failure. Anemia can cause pale skin, fatigue, and shortness of breath. Low platelets can cause easy bruising and bleeding. It is different from the more common typical hemolytic-uremic syndrome.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Sudden kidney injury
  • Blood in the urine
  • Low platelet count (thrombocytopenia)
  • Anemia from broken-down red blood cells
  • Paleness and tiredness
  • Abnormal complement system tests

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include blood and bone marrow specialists, genetic specialists and kidney specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with American Association of Kidney Patients and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which genetic or complement tests do I need?
Which treatments protect kidney function?
Which specialists, such as a kidney doctor and blood doctor, should be on my team?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says changes in genes (also called variants) cause this condition, and it can be inherited in a dominant or recessive way. The complement system (part of the immune system) is involved.

GeneticKidneyBlood

Also known as: ahus; ahus - atypical hemolytic uremic syndrome; atypical hemolytic uremic syndrome; atypical hus; d-hus; hemolytic-uremic syndrome without diarrhea

Patient organizations

Source: NIH GARD · Atypical hemolytic-uremic syndromeGARD ID 8702 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Atypical hemolytic-uremic syndrome.

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