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Thrombotic thrombocytopenic purpura: Description and analysis of 23 cases treated in Chile between 2017 and 2022

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Demographic, clinical, symptom and laboratory history.
Total23
Women (%)16 (70%)
Age (median in years and IQR)62 (38 to 77)
Presence of comorbidities (%)19 (83%)
Charlson comorbidity index (points and IQR)4 (1.5 to 6.0)
Background found (n and %)
Hematological neoplasms4 (17%)
Hematopoietic precursor transplants0
Chronic renal disease6 (26%)
Hemodialysis2 (8.7%)
Anemia5 (22%)
Cirrhosis3 (13%)
Rheumatologic diseases4 (17%)
Systemic lupus erythematosus2 (8.7%)
Antiphospholipid syndrome1 (4.3%)
Neurological conditions6 (26%)
STROKE/TIA5 (22%)
Epilepsy1 (4.3%)
Poliomyelitis sequelae1 (4.3%)
Arterial hypertension10 (44%)
Diabetes mellitus7 (30%)
Pulmonary diseases4 (17%)
Heart failure3 (13%)
Active infections16 (26%)
Symptoms presented (n and %)
Constitutional19 (86%)
Gastrointestinal12 (52%)
Hemorrhagic10 (44%)
Neurological8 (35%)
Glasgow Coma Scale < 94 (17%)
Seizures2 (8.7%)
Laboratory variables (median and IQR)
Platelets18 000/mcL (9500 to 43 000)
LDH617 U/L(353 to 1129)
Hemoglobin7.9 g/dL (6.1 to 8.7)
Creatinine1.71 mg/dL(0.96 to 2.6)

IQR, intercuartile range. LDH, lactate dehydrogenase. TIA, transient ischemic attack.

1 Active infections included periodontal sepsis, intra-abdominal sepsis, SARS-CoV-2 pneumonia and BK virus-associated nephropathy.

Source: Prepared by the authors based on the results of the study.