Reye's syndrome 

Introduction  

Inherited metabolic disorders

It is now thought that many children who present at hospital with symptoms of Reye's syndrome actually have an inherited metabolic disorder, which is known as a ‘Reye-like’ illness.

An inherited metabolic disorder is a condition that affects the chemical reactions taking place in your body. If you have a defect in one of these chemical reactions, it can cause a build-up of one type of chemical and a shortage of another type of chemical. This can cause symptoms similar to those of Reyes syndrome, such as drowsiness.

In some cases, the build-up of a chemical can have a toxic (poisonous) effect. In other cases, you may have a shortage of a chemical that is vital for your normal body functions. It is therefore important that the correct diagnosis is made, as in some cases a specific treatment may be available. 

Possible inherited metabolic disorders that may cause a Reye-like illness include defects that affect:

  • lipids (fatty substances)
  • amino acids (molecules that make up protein)
  • carbohydrates (used as fuel for your body)

Reye’s syndrome is a very rare condition that causes serious liver and brain damage. If it is not treated promptly it may result in permanent brain injury or death.

Almost all recorded cases of Reye’s syndrome have happened in children, but adult cases have also occurred.

The exact cause of Reye’s syndrome is unknown, but there is evidence that two factors may contribute towards children developing the condition. These are listed below.

  • Previous viral infection – most children who developed Reye’s syndrome were recovering from a viral infection, usually either influenza (flu) or chickenpox
  • Aspirin – many children who developed Reye’s syndrome had previously taken aspirin to treat the symptoms of their viral illness

Due to the possible link between Reye’s syndrome and aspirin, the medicines watchdog, the Medicines and Healthcare products Regulatory Agency (MHRA), recommends that children under 16 years old should not take aspirin unless advised by a doctor.

How common is Reye’s syndrome?

Since health warnings were issued in the late 1980s about not giving aspirin to children, the number of cases of Reye’s syndrome has fallen dramatically.

There was an average of 41 cases of Reye’s syndrome a year in the UK and Ireland during the 1980s. The average number of cases a year fell to nine during the 1990s. In 2002, there was one confirmed case of Reye's syndrome. Up to April 2009 there have been three suspected cases.

Despite the decrease, some healthcare professionals believe that a large flu pandemic (a global outbreak of a new strain of the flu virus) may lead to an upsurge in cases of Reye’s syndrome, particularly if parents ignore the warning about aspirin.

Reye’s syndrome affects boys and girls equally, and it affects all races.

Outlook

Reye’s syndrome should be treated as a medical emergency because it can cause rapid damage to the liver and brain. A child with Reye’s syndrome will need to be taken immediately to an intensive care unit so that their body’s functions can be supported while they are receiving treatment. See Reye’s syndrome - treatment for more information.

As a result of advances in diagnosing and treating Reye’s syndrome, it is now estimated that 8 out of 10 people who develop the condition will survive. However, children can sometimes develop a degree of brain damage after recovering from Reye’s syndrome. See Reye’s syndrome - complications for more information.

Last reviewed: 21/01/2011

Next review due: 21/01/2013

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