Description

The response of a patient with thrombotic thrombocytopenic purpura (TTP) to therapy can be classified using the criteria of Zahn et al. The authors are from the Johns Hopkins University in Baltimore.


Response

Criteria

complete response

platelet recovery during plasma exchange therapy or within 1 week of stopping treatment

exacerbation

recurrent thrombocytopenia after a response, requiring resumption of daily plasma exchange 1 to 29 days without a plasma exchange

remission

complete response with no need for plasma exchange for >= 30 days

relapse

recurrence of TTP after a remission

 

Platelet recovery was defined as a platelet count >= 150,000 per µL (lower limit of the normal reference range) for >= 3 consecutive days.

 


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