Important to remember that some TTP patients will NOT have schistocytes on their initial blood smear. Data from the UK TTP registry presented by Andrew Doyle at #ISTH2022
Very cool talk by Tim Postmus from KU Leuven about introducing N-glycans on the surface of the spacer domain of ADAMTS13 to avoid pathogenic autoantibodies the vast majority of iTTP! #ISTH2022
The Austrian experience with PLEX-free treatment of TTP in 20 patients with Caplacizumab+Rituxan+steroids presented by Paul Knöbl. #ISTH2022
-median 3 days to platelet count normalization
-2/20 patients required plasma exchange
-1 subdural hematoma on day 21 of Caplacizumab
LV thrombi (LVT)
👉Are associated with systolic dysfunction.
👉Can occur in both ischemic & non-ischemic cardiomyopathy.
👉Carry a significant risk of systemic thromboembolism.
Management is mainly anticoagulation, but would you choose WARFARIN or a DOAC?? A #tweetorial 🧵
Having lived through Hurricane Katrina as a #Hemophilia doctor, Cindy Leissinger explained the essentials advice she would give to prepare for another such eventuality. #EAHAD2022
Daratumumab interferes with blood bank testing by binding to CD38 on RBCs causing panagglutination on the Indirect Antiglobulin Test (IAT). The time to resolution of positive IAT after discontinuation in some studies is 5 months #mmsm#MYELOMA#MedEd#medtwitter#USMRC
Letter in tomorrow's @NEJM shows that it is safe for individuals who have had VITT to receive a second #COVID19 vaccine. The data are largely with the use of the Pfizer vaccine, although interestingly some patients received a second AZ vaccine. https://t.co/uPKSRCTnSr
If you are looking for a review article for an update on the management of Immune Thrombocytopenia (ITP), this is excellent and very practical. The PDF is free. https://t.co/XgsjEvGkuN
#SickleCellAwarenessMonth
Labs NEVER override symptoms
Yes, we will get a CBC
Most times it will be “at baseline”
This 1000% does NOT mean that sickling is not occurring
Don’t EVER use labs to explain away any symptom, especially pain
Believe the patient and treat symptoms