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 Hematoljournal_title
American journal of hematologyauthors
Werner TL,Agarwal N,Carney HM,Rodgers GMdoi
10.1002/ajh.20783subject
Has Abstractpub_date
2007-04-01 00:00:00pages
295-8issue
4eissn
0361-8609issn
1096-8652journal_volume
82pub_type
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pub_type: 杂志文章,评审
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