Estudios originales
Published on 21 de julio de 2025 | http://doi.org/10.5867/medwave.2025.06.3002
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.
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) |
Hematological neoplasms | 4 (17%) |
Hematopoietic precursor transplants | 0 |
Chronic renal disease | 6 (26%) |
Hemodialysis | 2 (8.7%) |
Anemia | 5 (22%) |
Cirrhosis | 3 (13%) |
Rheumatologic diseases | 4 (17%) |
Systemic lupus erythematosus | 2 (8.7%) |
Antiphospholipid syndrome | 1 (4.3%) |
Neurological conditions | 6 (26%) |
STROKE/TIA | 5 (22%) |
Epilepsy | 1 (4.3%) |
Poliomyelitis sequelae | 1 (4.3%) |
Arterial hypertension | 10 (44%) |
Diabetes mellitus | 7 (30%) |
Pulmonary diseases | 4 (17%) |
Heart failure | 3 (13%) |
Active infections1 | 6 (26%) |
Constitutional | 19 (86%) |
Gastrointestinal | 12 (52%) |
Hemorrhagic | 10 (44%) |
Neurological | 8 (35%) |
Glasgow Coma Scale < 9 | 4 (17%) |
Seizures | 2 (8.7%) |
Platelets | 18 000/mcL (9500 to 43 000) |
LDH | 617 U/L(353 to 1129) |
Hemoglobin | 7.9 g/dL (6.1 to 8.7) |
Creatinine | 1.71 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.