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. 2025 Jun 23;10(9):3271-3275.
doi: 10.1016/j.ekir.2025.06.039. eCollection 2025 Sep.

New Insights Into Renal Involvement During Immune-Mediated Thrombotic Thrombocytopenic Purpura

Collaborators, Affiliations

New Insights Into Renal Involvement During Immune-Mediated Thrombotic Thrombocytopenic Purpura

Marie Robert et al. Kidney Int Rep. .
No abstract available

Keywords: biopsy; immune-mediated thrombotic thrombocytopenic purpura; kidney; thrombotic microangiopathies.

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Figures

Figure 1
Figure 1
Representative images of 2 patients with immune-mediated thrombotic thrombocytopenic purpura. (1) Patient with renal TMA in the context of systemic sclerosis: (a) arteriolar thrombosis in the preglomerular arteriole (star), and double contours (arrow) (PAS staining, x40); (b) endothelial swelling (star) and double contours (arrow) (Jones staining, x40). (2) Patient with nonrenal TMA in the context of endocarditis: (c) (PAS staining x20) and (d) (Masson Trichrome staining x20) showing glomeruli with mesangial hypertrophy and hypercellularity, endocapillary hypercellularity with neutrophils, and cellular crescent with fibrinoid necrosis. PAS, periodic acid-schiff; TMA, thrombotic microangiopathy.

References

    1. Joly B.S., Coppo P., Veyradier A. Thrombotic thrombocytopenic purpura. Blood. 2017;129:2836–2846. doi: 10.1182/blood-2016-10-709857. - DOI - PubMed
    1. Zafrani L., Mariotte E., Darmon M., et al. Acute renal failure is prevalent in patients with thrombotic thrombocytopenic purpura associated with low plasma ADAMTS13 activity. J Thromb Haemost. 2015;13:380–389. doi: 10.1111/jth.12826. - DOI - PubMed
    1. Khalighi M.A., Henriksen K.J., Chang A., Meehan S.M. Intratubular hemoglobin casts in hemolysis-associated acute kidney injury. Am J Kidney Dis. 2015;65:337–341. doi: 10.1053/j.ajkd.2014.08.020. - DOI - PubMed
    1. Frimat M., Tabarin F., Dimitrov J.D., et al. Complement activation by heme as a secondary hit for atypical hemolytic uremic syndrome. Blood. 2013;122:282–292. doi: 10.1182/blood-2013-03-489245. - DOI - PubMed
    1. Cugno M., Mancini I., Consonni D., et al. Complement activation and renal dysfunction in patients with acquired thrombotic thrombocytopenic purpura. Blood. 2023;141:2278–2282. doi: 10.1182/blood.2022018644. - DOI - PubMed

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