Thrombotic microangiopathic hemolytic anemia in systemic lupus erythematosus associated with antiphospholipid antibodies: usefulness of monitoring coagulation-fibrinolysis markers.

Abstract:

:Abstract We report on a 24-year-old woman with systemic lupus erythematosus and lupus anticoagulant who developed chronic thrombotic microangiopathic hemolytic anemia. The patient responded well to a combination of plasma exchange and anticoagulant therapy. Changes in the molecular markers for coagulation and fibrinolysis corresponded with the disease activity. We suggest that thrombotic microangiopathic hemolytic anemia should be suspected when anemia and thrombocytopenia of unknown etiologies occur in systemic lupus erythematosus. In such cases, the evaluation of molecular markers for coagulation and fibrinolysis might be helpful both for diagnosis and for assessing the response to therapy.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Asanuma Y,Suzuki Y,Yasumuro Y,Ichikawa Y

doi

10.1007/pl00012174

subject

Has Abstract

pub_date

2000-12-01 00:00:00

pages

260-2

issue

4

eissn

1439-7595

issn

1439-7609

journal_volume

10

pub_type

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