* Diarrhea, but not necessarily vomiting

* Respiratory disturbances such as hyperventilation or apneic episodes, seizures and hypoglycemia
are common

* Elevated SGOT-SGPT (SAT-ACT) [usually 200 or more units] in the absence of jaundice

* Unexpected vomiting following any viral illness such as a flu-like upper respiratory infection or chicken pox (usually no diarrhea)

* Elevated SGOT-SGPT (SAT-ACT) [usually 200 or more units] in the absence of jaundice

* Signs of disturbed brain function characterized by:

Lethargy
Staring
Stupor
Agitated delirium
Screaming
Drug reaction-like behavior
Extensor spasms
Decerebrate rigidity
Aspirin poisoning-like symptoms
Coma

* Vomiting, think Reye's
* Emergency SGOT-SGPT (SAT-ACT)
* Elevated blood NH3
* Hypoglycemia and hepatomegaly may be present

* Meningitis
* Encephalitis
* Diabetes
* Drug Overdose
* Sudden Infant Death
* Toxic Ingestion
* Head Trauma
* Renal or Hepatic Failure
* Poisoning

* 10% Glucose in maintenance salt solution
* Maintain airway and brain oxygen
* Consult a teaching hospital or children's hospital

Fact You Need to Know About Reye's Syndrome:

Reye's Syndrome is a very serious disease. Children and adults develop Reye's Syndrome as they are getting over a viral illness, such as the flu or chicken pox. Reye's Syndrome usually affects people from infancy through young adulthood; however, no age group is immune. Although Reye's generally occurs when someone is recovering from a viral illness, it can develop three to five days after the onset of the illness. The disease's main targets are the liver and brain. Reye's Syndrome is non-contagious, and too often is misdiagnosed as encephalitis, meningitis, diabetes, poisoning, drug overdose, or sudden infant death.

Early diagnosis is crucial. Following a viral illness, individuals should be watched during the next two to three weeks.

Fact: No one is immune. Reye's affects all ages, both genders, and every race. Fact: Reye's will generally follow a viral illness or upper respiratory infection, i.e., cold, flu, chicken pox, ear infection, etc. Fact: Research figures show that 90 to 95 percent of Reye's Syndrome patients in the United States have taken aspirin during a preceding viral illness.

Fact: A fever need not be present.

Fact: Reye's Syndrome occurs year-round, not just during the winter months.

Fact: Reye's Syndrome runs its course within a matter of hours to just a few days.

Fact: Aspirin and salicylate containing medications do not have to be ingested to bring on Reye's. These medications only increase a person's chance of developing the disease. (Medication List)

Fact: A person diagnosed with Reye's Syndrome must be hospitalized and treatment begun immediately. (Treatment)

Reye's syndrome should be suspected in anyone who vomits repeatedly. Call your doctor immediately if these symptoms develop. Voice your concern about Reye's Syndrome. If your physician is unavailable, take the person to an Emergency Room promptly. Two liver function tests (SGOT, (SAT) SGPT, (ACT)) can be done to determine the possibility of Reye's Syndrome. There is a 90% chance of recovery when the syndrome is treated in its earliest stages by physicians and nurses experienced in the treatment of Reye's.

Studies have shown that using aspirin or aspirin-containing medications to treat the symptoms of viral illnesses increases the chance of developing Reye's Syndrome. If you or a member of your family have a viral illness, do not use aspirin or aspirin-containing medications. In fact, you should consult your physician before you take any drugs to treat any viral illness such as the flu or chicken pox, particularly aspirin or anti-nausea.

The National Reye's Syndrome Foundation (NRSF), the U.S. Surgeon General, the Food and Drug Administration, the Centers for Disease Control, and the American Academy of Pediatrics recommend that aspirin and combination products containing aspirin not be taken by anyone under 19 years of age during fever-causing illnesses.

Aspirin is a part of the salicylate family of medicines. Another name for aspirin is acetylsalicylate; some drug labels may use the words acetylsalicylate, acetylsalicylic acid, salicylic acid, salicylate, etc., instead of the word aspirin. Currently, there is no conclusive data as to whether other forms of salicylates are associated with the development of Reye's Syndrome. Until further research has answered this question, the NRSF recommends that products containing any of these substances not be taken during episodes of viral infections.

Reye's Syndrome is a disease which affects all organs of the body, but most lethally the liver and the brain. Reye's Syndrome is a two-phase illness because it is almost always associated with a previous viral infection, such as influenza, cold, or chicken pox. Scientists do know that Reye's Syndrome is not contagious and the cause is unknown

Reye's Syndrome tends to appear with greatest frequency during January, February, and March when influenza is most common. Cases are reported in every month of the year. An epidemic of flu or chicken pox is commonly followed by an increase in the number of cases of Reye's Syndrome.

Physicians and medical staff in emergency rooms who have not had experience in treating Reye's Syndrome may misdiagnose the disease. The symptoms of Reye's Syndrome in infants do not follow a typical pattern. For example, vomiting may be replaced with diarrhea, and they may display irregular breathing.