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後天性血栓性血小板低下紫斑症

摘要


血栓性血小板低下紫斑症(thrombotic thrombocytopenic purpura, TTP)為一血小板低下合併溶血、神經學症狀及腎功能受損之血液學急症,若無經過適當的血漿置換治療,有極高的死亡率,除了血漿置換外,尚有新的藥物進展可有效加速血小板恢復及減少TTP相關之併發症。

參考文獻


Reese JA, Muthurajah DS, Kremer Hovinga JA, et al. Children and adults with thrombotic thrombocytopenic purpura associated with severe, acquired Adamts13 deficiency: comparison of incidence, demographic and clinical features. Pediatr Blood Cancer 2013;60:1676-82.
Terrell DR, Vesely SK, Kremer Hovinga JA, et al. Different disparities of gender and race among the thrombotic thrombocytopenic purpura and hemolytic-uremic syndromes. Am J Hematol 2010;85:844-7.
Page EE, Kremer Hovinga JA, Terrell DR, et al. Thrombotic thrombocytopenic purpura: diagnostic criteria, clinical features, and long-term outcomes from 1995 through 2015. Blood Adv 2017;1:590-600.
Amorosi EL, Ultmann JE. Thrombotic thrombocytopenic purpura: Report of 16 cases and review of the literature. Medicine (Baltimore) 1966;45:139-60.
Jamme M, Rondeau E. The PLASMIC score for thrombotic thrombocytopenic purpura. Lancet Haematol 2017;4:e148.

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