Management of cancer-associated thrombotic microangiopathy: what is the right approach?

Abstract:

:A 49-year-old Caucasian woman presented with features suggestive of thrombotic microangiopathy (TMA). She did not respond to treatment with repeated plasma exchange and corticosteroids. A bone marrow biopsy revealed presence of metastatic carcinoma. A limited autopsy revealed presence of breast cancer with rib metastases. Though severe deficiency of von Willebrand factor-cleaving protease was initially proposed as a key pathogenetic factor for thrombotic thrombocytopenic purpura, subsequent studies involving patients with cancer-associated TMA did not find as severe a deficiency of von Willebrand factor-cleaving protease as is seen in idiopathic cases of thrombotic thrombocytopenic purpura. Here we address one approach of management of these patients with cancer-associated TMA.

journal_name

Am J Hematol

authors

Werner TL,Agarwal N,Carney HM,Rodgers GM

doi

10.1002/ajh.20783

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

295-8

issue

4

eissn

0361-8609

issn

1096-8652

journal_volume

82

pub_type

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