TROMBOTİK TROMBOSİTOPENİK PURPURA: DİRENÇLİ İKİ OLGUNUN BİLDİRİMİ VE LİTERATÜRÜN GÖZDEN GEÇİRİLMESİ

Yıl 2015, Cilt: 19 Sayı: 1, 56 - 59, 01.03.2015

Mehmet Calan Ferda Bilgir Gulsum Cagliyan Can Ozlu Arif Yüksel Oktay Bilgir

Öz

Trombotik trombositopenik purpura TTP nadir görülen bir hematolojik hastalıktır. Ancak, acilen tanı koyulup tedavi edilmezse, ölümcül sonuçları olan bir hematolojik acildir. TTP’in en etkin tedavisi hastaların %80’inden fazlasında kür elde edilebilen plazmaferezdir. Dirençli TTP’si olan hastalarda immunsupresif tedavi kullanılabilir. Rituksimab otoimmun ve malign hastalıklarda kullanılan önemli bir immunmodulator tedavidir. Biz burada, konvensiyonel tedaviye dirençli olan ve rituksimab ile başarıyla tedavi edilen iki hastayı sunduk

Anahtar Kelimeler

Trombotik trombositopenik purpura, rituksimab, tedavi

THROMBOTIC THROMBOCYTOPENIC PURPURA: A REPORT OF TWO RESISTANCE CASES AND REVIEW OF THE LITERATURE

Öz

Thrombotic thrombocytopenic purpura TTP is a rare hematological disease, but it is a hematological emergency with fatal consequences if not promptly diagnosed and appropriately treated. Plasmapheresis is the most effective therapy of TTP through which more than 80% of patients have been cured. Immunosuppressive therapy is used for patients who have resistance TTP. Rituximab is an important immune modulator therapy in certain autoimmune and malignant disorders. Herein, we report two patients with resistance TTP to conventional therapy who were successfully treated by rituximab. Using rituximab as part of the standard therapy may be more effective to prevent potential mortality and morbidity of TTP than standard approach

Anahtar Kelimeler

TTP, rituximab, treatment

Kaynakça

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