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215 In conclusion, three interesting results were identified after analysis of data in our study. First, our overall mortality rate was 1 in 19 (5.3%). Higher mortality rates were reported in previous studies (10%-20%) [1,2]. This result may show that early PEX initiation is an effective factor in mortality reduction. Secondly, the mean d-dimer value of our TTP patients was higher than the reference limit at 2.65 μg/mL (reference values: 0-0.4 μg/mL). Thus, in cases of slightly elevated d-dimer levels, one should not hesitate to start urgent PEX treatment in patients with clinically high suspicion of TTP if ADAMTS13 panel results are not obtained quickly. Thirdly, relapsed/refractory patients needed more PEX sessions to achieve first remission. A smaller number of PEX sessions to achieve response may be predictive of durable remission without relapse.

SEVERE BONE MARROW HYPOPLASIA WITH BLACK CUMIN (N Sativa) INGESTION IN A PATIENT WITH T-ALL IN COMPLETE REMISION -1