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A patient with SLE-associated thrombotic microangiopathy and non-neutralizing antibodies against ADAMTS13
Author(s) -
Michael Knecht,
Michael Mayr,
Silvia Ferrari,
Friedrich Scheiflinger,
Marten Trendelenburg
Publication year - 2010
Publication title -
nephrology dialysis transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.654
H-Index - 168
eISSN - 1460-2385
pISSN - 0931-0509
DOI - 10.1093/ndt/gfq021
Subject(s) - adamts13 , thrombotic microangiopathy , medicine , antibody , thrombotic thrombocytopenic purpura , immunology , neutralizing antibody , microangiopathy , platelet , disease , endocrinology , diabetes mellitus
In this case report, we describe for the first time a patient with thrombotic thrombocytopaenic purpura (TTP) accompanying highly active systemic lupus erythematosus (SLE) that was associated with non-neutralizing antibodies against the plasma metalloprotease ADAMTS13. Those non-neutralizing antibodies could have been the cause of ADAMTS13 depletion and consecutive TTP. More extensive analyses are required to determine the prevalence as well as the clinical relevance of non-neutralizing antibodies against ADAMTS13 in SLE patients.

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