Table 1.

Clinical features and death of patients with TTP, 1925-2017

Clinical feature1925-19641964-19801982-19891995-201712 
No. of patients 271 275 102 89 
Diagnostic criteria, %     
 Thrombocytopenia 96 96 100 100 
 Hemolytic anemia 96 98 100 100 
 Neurologic symptoms 92 84 71 64 
 Kidney injury 88 76 59 25 
 Fever 98 59 26 10 
Survival, % 10 46 78 87 
Clinical feature1925-19641964-19801982-19891995-201712 
No. of patients 271 275 102 89 
Diagnostic criteria, %     
 Thrombocytopenia 96 96 100 100 
 Hemolytic anemia 96 98 100 100 
 Neurologic symptoms 92 84 71 64 
 Kidney injury 88 76 59 25 
 Fever 98 59 26 10 
Survival, % 10 46 78 87 

The data in these 4 reports1,6,7,12  illustrate the trends of clinical features and survival. They are not completely comparable. The earlier observations1,6  represent data from both the initial presentation and hospital course, which was often prolonged in the era before effective treatment. In the 2 more recent studies,7,12  thrombocytopenia and microangiopathic hemolytic anemia were required abnormalities for establishing the diagnosis of TTP. In the most recent data, fever was recorded only if it was accompanied by chills.12 

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