All authors have contributed significantly and are in agreement with the content of this manuscript.
Thrombotic thrombocytopenic purpura in childhood: An uncommon but life-threatening cause of thrombocytopenia
Article first published online: 6 AUG 2007
Journal of Paediatrics and Child Health
Volume 43, Issue 9, pages 640–642, September 2007
How to Cite
Davis, A. and Barnes, C. (2007), Thrombotic thrombocytopenic purpura in childhood: An uncommon but life-threatening cause of thrombocytopenia. Journal of Paediatrics and Child Health, 43: 640–642. doi: 10.1111/j.1440-1754.2007.01178.x
- Issue published online: 6 AUG 2007
- Article first published online: 6 AUG 2007
- Accepted for publication 30 March 2007.
- hemolytic anemia;
- thrombotic thrombocyto-penic purpura
Abstract: Thrombotic thrombocytopenic purpura (TTP) is a life-threatening disorder characterised by microangiopathic haemolytic anaemia, thrombocytopenia and signs of ischaemic organ dysfunction such as neurological or renal impairment and fever. The diagnosis of TTP should be considered in any child presenting with thrombocytopenia, in particular those children with microangiopathic haemolysis, atypical immune thrombocytopenia purpura or Evan’s syndrome. Distinguishing TTP from haemolytic uraemic syndrome is difficult, but where there is doubt about the diagnosis, a presumptive diagnosis of TTP should be made to allow potentially life-saving therapy with therapeutic plasma exchange. Recent advances in the molecular basis of the disease have resulted in assays for ADAMTS-13 activity, inhibitor levels and ADAMTS-13 mutation analysis. These assays help to distinguish TTP from haemolytic uraemic syndrome. However, the performance characteristics of these assays in the diagnosis and management of TTP are yet to be defined.