Clinical features and death of patients with TTP, 1925-2017
Clinical feature . | 1925-19641 . | 1964-19806 . | 1982-19897 . | 1995-201712 . |
---|---|---|---|---|
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 feature . | 1925-19641 . | 1964-19806 . | 1982-19897 . | 1995-201712 . |
---|---|---|---|---|
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