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. 2014 Mar 27;370(13):1270-1.
doi: 10.1056/NEJMc1316118.

Thrombotic microangiopathy associated with interferon beta

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Thrombotic microangiopathy associated with interferon beta

David Hunt et al. N Engl J Med. .
No abstract available

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Figures

Figure 1
Figure 1. Cases of Thrombotic Microangiopathy Associated with a Common Manufacturing Source of Interferon Beta
Shown are renal-biopsy specimens obtained from four patients receiving recombinant interferon beta therapy in South Scotland in whom thrombotic micro-angiopathy was diagnosed during an 18-month period (Panels A through D). All four specimens show arteriolar luminal obliteration with swollen endothelium and fibrin (arrows; hematoxylin and eosin and silver staining [Panels A, B, and D] and Martius scarlet blue [MSB] staining [Panel C]). All four patients were treated with recombinant interferon beta from the same manufacturer, as confirmed by tracing of drug batches. The Venn diagram shows the overlap of 10 batches prescribed to patients in the year before the presentation of the index case (Panel E).

References

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    1. Recombinant interferon-beta: thrombotic microangiopathy [December 2013];Drug Safety Update. :S3. http://www.mhra.gov.uk/Safetyinformation/DrugSafetyUpdate/CON355481.
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