Journals / Causapedia / 2016 / Cilt: 5 - Sayı: 1

Thrombotic Thrombocytopenic Purpura Associated with Cyclocyporin Use in a Liver Transplant Patient

Karaciğer Nakilli Hastada Siklosporin Kullanımına Bağlı Trombotik Trombositopenik Purpura Gastroenteroloji

Journal
Causapedia
Pages
21–24
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

While our patient with livertransplantation was receiving cyclosporine, clinicalpicture of TTP was developed, and the disease wascontrolled by using pulse steroid and performingplasma exchange treatment

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Many immunosuppressive drugs given to patients with livertransplantation.
📊
Key Findings & Data:Thrombotic microangiopathy (TMA),which is one of those complications, is encounteredvery rarely and if untreated, it endangers life.
💡
Conclusion & Impact:While our patient with livertransplantation was receiving cyclosporine, clinicalpicture of TTP was developed, and the disease wascontrolled by using pulse steroid and performingplasma exchange treatment
🔬Design:Review & Systematic Survey
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Many immunosuppressive drugs given to patients with livertransplantation. Thrombotic microangiopathy (TMA),which is one of those complications, is encounteredvery rarely and if untreated, it endangers life. Whenwe reviewed the literature, we came across to a fewthrombotic thrombocytopenic purpura (TTP) cases,which have developed due to calcineurin inhibitor useafter the liver transplantation. And according to ourknowledge, this present case was the first TTP case,which occurred due to cyclosporine use after the livertransplantation. While our patient with livertransplantation was receiving cyclosporine, clinicalpicture of TTP was developed, and the disease wascontrolled by using pulse steroid and performingplasma exchange treatment

Özet

Karaciğerkullanılan immünsüpresif ilaçlara bağlı olarak pek çokkomplikasyonkomplikasyonlardan biri olan trombotik mikroanjiyopati(TMA) oldukça nadir görülen ve tedavi edilmediğitakdirde hayatı tehdit eden bir durumdur. Literatürüincelediğimizde karaciğer nakli sonrası kalsinörininhibitörü kullanımına bağlı gelişen az sayıda trombotiktrombositopenik purpura (TTP) olgusuna rastladık. Yinebizim bilgilerimize göre bu olgu ülkemizde karaciğernakli sonrası siklosporin kullanımına bağlı gelişen ilkTTP olgusudur. Karaciğer nakli olan hastamızdasiklosporin kullanmakta iken TTP tablosu gelişmiş oluppulse steroid ve plazma exchange tedavisi ile hastalıkkontrol altına alınmıştır

🔖

Cite This Article

ALKAN, E., AKIN, M., SALİM, O., TUNA, Y., SÜLEYMALAR, İ. (2016). Thrombotic Thrombocytopenic Purpura Associated with Cyclocyporin Use in a Liver Transplant Patient. Causapedia, Cilt: 5 - Sayı: 1, 21–24. https://ajindex.com/articles/151681

References (15)

  1. Moake JL. Thrombotic microangiopathies. N Engl J Med. 2002; 347:589–600
  2. Ruggenenti P, Noris M, Remuzzi G. Thrombotic microangiopathy, hemolytic uremic syndrome, and thrombotic thrombocytopenic purpura. Kidney Int. 2001;60:831–46
  3. Levandovsky M, et al. Thrombotic thrombocytopenic purpura-hemolytic uremic syndrome (TTP-HUS): A 24-year clinical experience with 178 patients. J Hematol Oncol. 2008;1:23
  4. Basic-Jukic N, et al. Treatment of thrombotic microangiopathies with plasma exchange. Hematology. 2007;12:63-7
  5. Sarkodee-Adoo C, et al. Thrombotic microangiopathy in blood and marrow transplant patients receiving tacrolimus or cyclosporine A. Transfusion. 2003;43:78–84
  6. Schwimmer J, et al. De novo thrombotic microangiopathy in renal transplant recipients: a comparison of hemolytic uremic syndrome with localized renal thrombotic microangiopathy. Am J Kidney Dis. 2003;41:471–9
  7. Singh N, Gayowski T, Marino IR. Hemolytic uremic syndrome in solid-organ transplant recipients. Transplant Int. 1996; 9:68-75
  8. Trimarchi HM, et al. FK506-associated thrombotic microangiopathy: report of two cases and review of the literature. Transplantation. 1999; 67:539-44
  9. Furlan M, et al. von Willebrand factor-cleaving protease in thrombotic thrombocytopenic purpura and the hemolytic-uremic syndrome. N Engl J Med. 1998;339:1578–84
  10. Ruggenenti P, Remuzzi G. Pathophysiology and management of thrombotic microangiopathies. J Nephrol. 1998; 11:300-10
  11. Porta C, Caporali R, Montecucco C. Thrombotic thrombocytopenic purpura and autoimmunity: a tale of shadows and suspects. Haematologica. 1999;84:260-9
  12. Mohsin N, et al. Retinal injury as an early manifestation of posttransplant thrombotic microangiopathy: recovery with plasma exchanges and conversion to sirolimus--case report and review of the literature. Transplant Proc. 2007;39:1272-5
  13. Moake JL, Byrnes JJ. Thrombotic microangiopathies associated with drugs and bone marrow transplantation. Hematol Oncol Clin N. 1996; 10:485-97
  14. Yango A, et al. Successful treatment of tacrolimus-associated thrombotic microangiopathy with sirolimus conversion, plasma exchange. Clin Nephrol. 2002; 58:77
  15. Ponticelli C, Banfi G. Thrombotic microangiopathy after kidney transplantation. Transpl Int. 2006; 19:789–92.