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Reye Syndrome, Pediatric

Orkun Baloglu, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Reye syndrome is described as acute noninflammatory encephalopathy and fatty degeneration of the liver which may be idiopathic or secondary.

  • Reye syndrome is associated with aspirin (...

DIAGNOSIS

HISTORY

  • Typical history includes a viral illness with a remission period of 3 to 5 days followed by acute onset of vomiting and neurologic changes.

  • At least one episode prodromal illness was r...

TREATMENT

GENERAL MEASURES

  • Stabilization of airway, breathing, and circulation should always be priority.

  • Frequent assessment of neurologic status, especially signs of elevated ICP is required.

MEDICATION

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Admission to pediatric intensive care unit should be considered early in the disease course for close neurologic and cardiopulmonary monitoring.

  • ...

ADDITIONAL READING

  • Altman LK. Tale of triumph on every aspirin bottle. The New York Times. May 11, 1999. [View Abstract on OvidInsights]

  • Belay ED, Bresee JS, Holman RC, et al. Reye’s syndrome in the Un...

CODES

ICD9

331.81 Reye’s syndrome 

ICD10

G93.7 Reye’s syndrome 

SNOMED

74351001 Reye’s syndrome (disorder) 

FAQ

  • Q: Is Reye syndrome fatal?

  • A: ~30% of children will die, usually due to cerebral edema. Mortality rates are best predicted by neurologic state at the onset of presentation.

  • Q: How can the neurologic...

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