Literature DB >> 16923518

Thrombotic thrombocytopenic purpura associated with pegylated-interferon alpha-2a by an ADAMTS13 inhibitor in a patient with chronic hepatitis C.

Kiyoshi Kitano1, Yukio Gibo, Atsushi Kamijo, Kiyoshi Furuta, Satohiro Oguchi, Satoru Joshita, Yasufumi Takahashi, Fumihiro Ishida, Masanori Matsumoto, Masahito Uemura, Yoshihiro Fujimura.   

Abstract

A deficiency of ADAMTS13 leads to platelet clumping and/or thrombi formation, finally resulting in thrombotic thrombocytopenic purpura (TTP). In this study, a 62-year-old male with chronic hepatitis C developed TTP a month after long-term pegylated-interferon (PEG-IFN) treatment. The observed low level of activity of plasma ADAMTS13 following PEG-IFN treatment was shown to gradually increase with the improvement of TTP, while the titer of an inhibitory anti- ADAMTS13 IgG antibody decreased concomitant with the increase in ADAMTS13 activity. Serial determination of ADAMTS13 activity and its inhibitor may provide useful information for the diagnosis and treatment of IFN-associated TTP, as well as its pathogenesis.

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Year:  2006        PMID: 16923518

Source DB:  PubMed          Journal:  Haematologica        ISSN: 0390-6078            Impact factor:   9.941


  6 in total

1.  Decreased activity of plasma ADAMTS13 are related to enhanced cytokinemia and endotoxemia in patients with acute liver failure.

Authors:  Hiroaki Takaya; Hitoshi Yoshiji; Hideto Kawaratani; Kazuya Sakai; Masanori Matsumoto; Yoshihiro Fujimura; Hiroshi Fukui
Journal:  Biomed Rep       Date:  2017-07-19

2.  Thrombotic microangiopathy associated with use of interferon-beta.

Authors:  Teresa Olea; Raquel Díaz-Mancebo; Maria-Luz Picazo; Jorge Martínez-Ara; Angel Robles; Rafael Selgas
Journal:  Int J Nephrol Renovasc Dis       Date:  2012-06-15

3.  Slow, but complete, resolution of mitomycin-induced refractory thrombotic thrombocytopenic purpura after rituximab treatment.

Authors:  Mi Jin Hong; Hong Ghi Lee; Mina Hur; Sung Yong Kim; Yo Han Cho; So Young Yoon
Journal:  Korean J Hematol       Date:  2011-03-15

4.  Determination of ADAMTS13 and Its Clinical Significance for ADAMTS13 Supplementation Therapy to Improve the Survival of Patients with Decompensated Liver Cirrhosis.

Authors:  Masahito Uemura; Yoshihiro Fujimura; Saiho Ko; Masanori Matsumoto; Yoshiyuki Nakajima; Hiroshi Fukui
Journal:  Int J Hepatol       Date:  2011-07-18

5.  Thrombotic thrombocytopenic purpura in a patient with interferon treated hepatitis C successfully treated with rituximab.

Authors:  Nishant Poddar; Jen C Wang
Journal:  Hematol Rep       Date:  2013-01-25

6.  Thrombotic Microangiopathy in Interferon-beta-Treated Multiple Sclerosis Patient.

Authors:  Masoud Mohammad Malekzadeh; Reza Alizadeh; Ziba Aghsaeifard; Mohammad Ali Sahraian
Journal:  Clin Case Rep       Date:  2020-03-30
  6 in total

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