The Use of Eculizumab in Tacrolimus-Induced Thrombotic Microangiopathy

Drug-induced thrombotic microangiopathy (DITMA) is a secondary cause of thrombotic microangiopathy and a potentially fatal inflammatory disease. DITMA has been attributed to a variety of drugs, particularly chemotherapeutic and immunosuppressive agents. Prompt diagnosis is critical for survival and...

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Autori principali: Jihad Ben Gabr MD (Autore), Hiba Bilal MD (Autore), Kanish Mirchia MD (Autore), Andras Perl MD, PhD (Autore)
Natura: Libro
Pubblicazione: SAGE Publishing, 2020-08-01T00:00:00Z.
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520 |a Drug-induced thrombotic microangiopathy (DITMA) is a secondary cause of thrombotic microangiopathy and a potentially fatal inflammatory disease. DITMA has been attributed to a variety of drugs, particularly chemotherapeutic and immunosuppressive agents. Prompt diagnosis is critical for survival and treatment necessitates withdrawal of the offending drug; however, many cases require further treatment including plasmapheresis, immunosuppression, and anticoagulation. In this article, we report a cutaneous biopsy-proven case of tacrolimus-induced DITMA, which was successfully treated with eculizumab after failing the conventional standard of care. 
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