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İKİ VAKA NEDENİYLE TROMBOTİK TROMBOSİTOPENİK PURPURA

THROMBOTIC THROMBOCYTOPENiC PURPURA: TWO CASES

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Abstract (2. Language): 
Thrombotic thrombocytopenic purpura is characterized by fever, acute renal failure, thrombocytopenia, microangiopathic hemolytic anemia and neurological abnormalities. Clinically this rarely seen disease (4-11/1.000.000) can be confused with other diseases that cause anemia such as disseminated intravasculer coagulation(DIC), hemolytic uremic syndrome(HUS) and Evans syndrome. Two cases were discussed and literature was reviewed.
Abstract (Original Language): 
Trombotik Trombositopenik Purpura (TTP) ; Atefl, akut böbrek yetmezli¤i, nörolojik bozukluklar, trombositopeni ve mikroanjiopatik hemolitik anemi ile seyreden bir sendromdur. Nadir görülen bu hastal›k (4-11/1.000.000), klinik olarak dissemine intravasküler koagulasyon (D‹K), hemolitik üremik sendrom (HÜS) ve Evans sendromu gibi anemi yapan di¤er nedenlerle kar›flabilir. ‹ki vaka nedeniyle, TTP güncel literatür ›fl›¤›nda tekrar gözden geçirilmifltir.
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REFERENCES

References: 

1. Allford SL,Hunt BJ, Rose P, Machine S. Guidelines on the diagnosis
and management of the thrombotic microangiopathic haemolytic
anaemias. Br J Haematol 2003;120:556-573.
2. Carmichae DS , Medley DRK .Heparin in thrombotic microangiopathy
Lancet 1966;1:1421-1424.
3. Current concepts in thrombotic thrombocytopenic purpura. Annu
Rev Med 2006; 57: 419-436).
4. Del Zoppo, G.J.: Antiplatelet theraphy in thrombotic thrombocytopenic
purpura. Semin Hematology 1987; 24:32.
5. Elliot MA, Nichols, WL.Thorombotic trombositopenic purpura
and hemolitic uremic syndrome.Mayo Clin Proc 2001;76:1154-
1162.
6. Feldman JD , Mardiney MR ,Unanue ER ,Cutting H .The vascular
pathology of thrombotic thrombocytopenic purpura .An immunohistochemical
and ultra structural study. Lab Invest
1966;15:927-946.
7. GA Rock. KH Shumak. NA Buskard.VS Blanchette.JG Kelton.
RC Nair and RA Spasoff comparison of plasma exchange
with plasma infusion in the treatment of thrombotic thrombocytopenic
purpura canadian Apheresis study group N Eng J Med
1991;325:393-397.
8. James N.George How I treat patients with thrombotic thrombocytopenic
purpura- hmolytic uremic syndrome. Blood 2000
;96:1223-1229.
9. George JN,Gilcher RO,Smith JW , Chandler L, Duvall
D.Thrombotic Thrombocytopenic Purpura – Hemolytic Uremic
Syndrome : diagnosis nand manangement .J Clin Apheresis
1998;13:120-125.
10. Havens ,P.L.,O’Rouke P.P.,Hahn,J.,Higgins,J., Walker,A.M.:Laboratory
and clinical varables to predict outcome in hemolyticüremic
syndrome AJDC 1988;142:961.
11. James N. George, Thorombotic trombositopenic purpura N Engl
J Med 2006;354:1927-3195.
12. Kennedy SS, Zacharsky LR,Beck JR.Thrombotic thrombositopenic
purpura :analysis of 48 unselected cases. Semin Thromb
Hemost 1980;6:341-349.
13. Kutell MA ,Alfrey CP ,Hetting RA.TTP treatment N Engl J Med
1971;285:971-972.
14. Melnyk, A.M.S.,Solez K., Kjellstrand, C.M.:Hemolytic uremic
syndrome in adults. Arch Intern Med 1995;155:2077.
15. Miller,J.M., Pastorek ,JG.:Thrombotic thrombocytopenic purpura
and hemolytic üremic syndrome in pregnancy.Clin Obstet
Gynecol 1991;34:41.
16. Neame PB.Immunologic and other factors in thrombotic thrombocytopenic
purpura (TTP). semin Thromb Hemost 1980;6:416-
429.
17. Ponticelli,C.,Rivolta ,E.,Imbasciati ,E., Rossi,E., Mannucci,
P.M.:Hemolytic üremic syndrome. Arch Intern Med 1980;
140:335.
18. Rock ,G.A.,Shumak,K.H.,Buskard ,N.A.: Comparision of plasma
Exchange with plasma infusion the treatment of TTP N Eng J
Med 1991;325:326.
19. Rock G ,Porta C , Bobbio-Pallavicini E.Thrombotic thrombocytopenic
purpura treatment in year 2000.Haematologica 2000;
85:410-419.
20. Sadler JE,Moake JL. Recent advances in thrombotic trombocytopenic
purpura American Society of Hematology, 2004; 407-423.
21. Terrell DR, Williams LA, Vesely SK,Lammle B, Hovinga JA,
George JN,The incidence of thrombotic thrombocytopenic purpura-
hemolytic uremic syndrome: all patients, idiopathic patients,
and patients with severe ADAMTS-13 deficiency. J Thromb Haemost
2005; 3:1432-1436.
22. Weinstein ,L.: Syndrome of hemolysis, elevated liver enzymes
and low platelet count : Asevere consequence of hypertension in
pregnancy. Am J Obstet Gynecol 1982; 142:159.

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