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Reassessing Reye Syndrome
Arch Pediatr Adolesc Med. 2003;157:1241-1242.
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In 1963, Reye and associates1 described a syndrome in 21 children, characterized by acute encephalopathy, hepatic steatosis, and elevated levels of serum transaminases. Subsequent studies in the 1960s and 1970s revealed that it was a virus-related illness mainly associated with antecedent influenza B and varicella virus infections. In 1977, 454 cases of Reye syndrome were reported in the United States, and of 373 cases with follow-up, 42% died and 11% had residual neurologic damage.2 In the late 1970s and early 1980s, a number of case-control studies described an association between aspirin ingestion and the development of Reye syndrome.3 The Committee of Infectious Disease of the American Academy of Pediatrics and the Centers for Disease Control and Prevention recommended that aspirin-containing products not be given to children. In 1986, a warning label was required for all aspirin-containing products sold in the United States. In the last 2 decades, reported Reye syndrome . . . [Full Text of this Article]
Emilie L. Chow, MD
Department of Pediatrics Mattel Children Hospital 10833 Le Conte Ave, Box 951752 Los Angeles, CA 90095-1752 (echow@mednet.ucla.edu)
James D. Cherry, MD;
Rick Harrison, MD;
Sue V. McDiarmid, MD;
Sunita Bhuta, MD
Los Angeles
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