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Should patients with thrombotic thrombocytopenic purpura (TTP) and very low platelet counts receive platelet transfusions?

No, platelet transfusions may exacerbate the thrombotic tendency in HIT. Platelet transfusion should be reserved for patients with active bleeding or at high risk of bleeding.…

Should patients with thrombotic thrombocytopenic purpura (TTP) receive aspirin?

It may be considered once the platelet count increases to a safe level (e.g., > 50 x 109/L), but there is no evidence of clinical efficacy…

Does caplacizumab, used for treatment of thrombotic thrombocytopenic purpura (TTP), correct ADAMTS13 deficiency or eliminate anti-ADAMTS13 autoantibodies?

Caplacizumab does not affect ADAMTS levels or ADAMTS13 antibody production. It is an anti–von Willebrand factor humanized, bivalent variable-domain-only immunoglobulin fragment that inhibits interaction between von…

What is the dose of rituximab used in thrombotic thrombocytopenic purpura (TTP)?

375 mg/m2 IV weekly for 4 weeks.

How is plasma exchange tapered in thrombotic thrombocytopenic purpura (TTP)?

2019 Guidelines on the Use of Therapeutic Apheresis in Clinical Practice: [Plasma exchange] is generally performed daily until the platelet count is >150 × 109/L, and…

What impact does plasma exchange have on mortality in thrombotic thrombocytopenic purpura (TTP)?

Based on a landmark randomized study in 1991 (see abstract below), plasma exchange was reported to be associated with a mortality rate of about 10%, vs.…

How does plasma exchange work in thrombotic thrombocytopenic purpura (TTP)?

Removes autoantibodies and replenishes ADAMTS13 levels.

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