[Clinical course and differential diagnosis of thrombotic microangiopathy]

Med Klin Intensivmed Notfmed. 2018 May;113(4):293-298. doi: 10.1007/s00063-016-0193-5. Epub 2016 Jul 12.
[Article in German]

Abstract

Background: Thrombotic microangiopathies are complex diseases, requiring early differential diagnosis and targeted intervention.

Objectives: Presentation of clinical phenotype and diagnostic algorithm, discussion of underlying pathophysiology, clinical management and therapy.

Methods: Summary of current knowledge from literature and expert opinion.

Results: Our understanding of pathophysiology and therapeutic options have changed substantially in recent years. Early differential diagnosis and targeted therapy are of prognostic relevance.

Conclusions: A better understanding of underlying pathophysiology, increased clinical awareness and novel therapeutic options allow for a better prognosis of patients with thrombotic microangiopathy.

Keywords: STEC-HUS; TTP; Thrombotic microangiopathy; aHUS.

MeSH terms

  • Diagnosis, Differential
  • Humans
  • Plasma Exchange
  • Prognosis
  • Purpura, Thrombotic Thrombocytopenic* / diagnosis
  • Thrombotic Microangiopathies* / diagnosis