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We report a case of atypical hemolytic uremic syndrome (aHUS) in a 4‐year‐old boy. Although the patient had the typical triad of aHUS (microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury), urgent dialysis was not indicated because he had neither oliguria nor severe electrolyte abnormality. He was given eculizumab as first‐line therapy, which led to significant clinical improvement,...
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