Thrombotic microangiopathy of the miscellaneous secondary type responding to plasma exchange in a liver transplant recipient.
A thrombotic microangiopathy syndrome, clinically and pathologically similar to thrombotic thrombocytopenic purpura (TTP) has been reported in recipients of tissue transplants, including renal and bone marrow allografts. The diagnosis is made only after other causes of microangiopathic hemolytic anemia have been excluded. In this case report we present the outcome of the combination of plasma exchange, dipyridamole and aspirin in the management of a TTP-like syndrome that complicated the post-operative course of liver transplantation.
Valbonesi
M
M
Immunohematology Services, San Martino University Hospital, Genova, Italy.
Valente
U
U
Pellicci
R
R
Piri
C
C
Ferrari
M
M
Frisoni
R
R
Zia
S
S
Quaratino
S
S
Fella
M
M
D001241:Aspirin / Q000627:therapeutic use; D004176:Dipyridamole / Q000627:therapeutic use; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D008875:Middle Aged; D010951:Plasma Exchange; D011183:Postoperative Complications / Q000628:therapy*; D011697:Purpura, Thrombotic Thrombocytopenic / Q000209:etiology* / Q000628:therapy
D004176:Dipyridamole; D001241:Aspirin