Signs of Reyes syndrome

Description

A sudden brain swelling and liver function problem of unknown cause. It occurs most commonly in children and teenagers after a viral infection. It has been associated with aspirin. Children and teenagers recovering from a flu-like illness or chicken pox should never use aspirin. The disease is now rare but early diagnosis and treatment can prevent death. Rarely a metabolic abnormality may be the cause of the disorder.

Symptoms

Persistent vomiting, irritable and aggressive behavior, weakness, double vision, lethargy, confusion, headache, seizure, coma, death.

Tests

A history and physical exam will be performed. Multiple tests and imaging studies will be done to rule out other causes of the symptoms. There is no specific test to diagnose Reyes syndrome.

Standard Workup

Lumbar puncture
MRI
CT Scan
X-Ray
urine
Lipase
Lipase
CBC
Chem 12
Clotting studies
Protime

Treatment

There is no specific treatment for this condition. The pressure in the brain will be monitored as well as the body chemistry. Many patients will need support of their breathing using mechanical ventilation with a breathing tube inserted into their trachea. Medications to prevent seizures and blood products to reduce bleeding may be needed. Medicines that increase urination called diuretics to reduce the brain swelling may be administered as well. For more information contact: National Reye's Syndrome Foundation: (800)233-7393