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Reye's Syndrome

Diagnosis, symptoms, and treatment methods.

General Information About Reye's Syndrome

Reye's syndrome is a life-threatening condition presenting with brain swelling and liver degeneration (failure), which usually develops suddenly as a result of using aspirin as an antipyretic (fever reducer) during viral infections like chickenpox or the flu in children. It begins with severe vomiting and loss of consciousness. In our Pediatric Intensive Care units, it is managed with emergency medical support to reduce intracranial pressure.

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.
What is Reye's Syndrome?

It is a very dangerous, rare syndrome that occurs during childhood when the brain rapidly swells (edema) and the liver fails due to toxic fatty degeneration suddenly during the recovery phase of a viral illness.

What is its Relationship with Aspirin?

The biggest trigger of the disease is mistakenly giving Aspirin (acetylsalicylic acid) or medications containing aspirin to a child with a fever (especially during flu/influenza and chickenpox).

What are the Symptoms?

Very severe, unstoppable vomiting that begins suddenly just as the infection is about to pass. The vomiting is followed by excessive sleepiness, aggression, delirium, seizures, and a rapid descent into a coma.

What Fever Reducers Should Be Given to Children?

Aspirin must NEVER be given to children under 16 years of age to reduce fever. Instead, safe syrups/pills containing paracetamol or ibuprofen recommended by a doctor should be used.

How is it Diagnosed?

Very high levels of liver enzymes (AST/ALT) and ammonia in blood tests, along with an extreme drop in blood sugar, establish the diagnosis. An MRI or CT scan is taken to check for brain damage.

How is it Treated?

It is a medical emergency. The patient must be admitted to the pediatric intensive care unit immediately. Treatment is entirely supportive; IV fluids (mannitol) are administered to lower the intracranial pressure crushing the brain, blood products are given to protect the liver, and ventilator support is provided if necessary.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.


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