
IBCC – Thrombotic microangiopathies (TTP, HUS, et al.) - EMCrit …
May 6, 2021 · Thrombotic thrombocytopenic purpura (TTP) remains an important hematologic emergency that must be promptly recognized. This chapter attempts to disentangle these entities, with a focus on the practical aspects of workup and management.
Thrombotic microangiopathies (including TTP, ST-HUS, and C …
Thrombotic microangiopathy involves tiny clots forming within the microvasculature. This leads to erythrocyte fragmentation (which is termed MAHA: microangiopathic hemolytic anemia). Occlusion of the microvasculature also leads to tissue damage.
Thrombocytopenia - EMCrit Project
Sep 21, 2024 · Thrombocytopenia (<150,000 platelets) is extremely common in the ICU. It is often a poor prognostic sign that is associated with systemic inflammation. Most cases of thrombocytopenia will resolve in parallel with the patient's overall recovery. when to …
Thrombotic Thrombocytopenic Purpura and Hemolytic Uremic …
Thrombotic thrombocytopenic purpura (TTP) and hemolytic uremic syndrome (HUS) are multisystemic disorders that are characterized by thrombocytopenia, microangiopathic hemolytic anemia, and ischemic manifestations, resulting from platelet agglutination in the arterial microvasculature.
Diagnostic approach to thrombocytopenia in adults - UpToDate
Thrombocytopenia may be associated with a variety of conditions, with clinical presentations ranging from asymptomatic to life-threatening bleeding (eg, in immune thrombocytopenia [ITP]) or thrombosis (eg, in heparin-induced thrombocytopenia [HIT]). Here we discuss our approach to the adult with unexpected thrombocytopenia.
Expert statement on the ICU management of patients with
Thrombotic thrombocytopenic purpura (TTP) is fatal in 90% of patients if left untreated and must be diagnosed early to optimize patient outcomes.
Thrombotic microangiopathies: a general approach to diagnosis …
Thrombotic microangiopathies are a group of disorders characterized by microangiopathic hemolytic anemia, thrombocytopenia and microthrombi leading to ischemic tissue injury. 1 Though rare, thrombotic microangiopathies are life-threatening conditions that …
EM@3AM: Purpura - emDocs
Mar 27, 2021 · This patient has thrombotic thrombocytopenic purpura (TTP), a rare but deadly disease with an untreated mortality approaching 100%. TTP involves microangiopathic hemolytic anemia and thrombocytopenia via platelet aggregation in the microvascular circulation.
ISTH Guidelines on TTP - ISTH TTP Guidelines - International …
TTP is a rare, life-threatening thrombotic microangiopathy or blood disorder. In TTP, blood clots form in small blood vessels throughout the body and can limit or block the flow of oxygen-rich blood to the body’s organs, such as the brain, kidneys and heart.
Thrombocytopenia in the ICU: disseminated intravascular …
Jun 13, 2018 · TTP is diagnosed by identification of low ADAMTS13 activity (< 5-10%) and treated urgently with plasma exchange initially; HUS is associated with normal ADAMTS13 activity (> 5–10%) and the type of HUS elucidated by performing a Shiga-toxin producing Escherichia coli (STEC) stool culture or polymerase chain reaction (PCR) assay. Positive STEC ...