Successful early intervention for hyperacute transplant-associated thrombotic microangiopathy following pediatric

Sonata Jodele1, Jack J Bleesing, Parinda A Mehta

  • 1Division of Bone Marrow Transplant and Immune Deficiency, Cincinnati Children's Hospital Medical Center Hoxworth Blood Center, University of Cincinnati, Cincinnati, OH 45229, USA. sonata.jodele@cchmc.org

Pediatric Transplantation
|November 9, 2010
PubMed

TA-TMA is a serious complication of hematopoietic stem cell transplantation, presenting as microangiopathic hemolytic anemia with severe renal injury and mortality as high as 60%. Diagnosis and treatment of TA-TMA is very challenging after HSCT because anemia, thrombocytopenia, hypertension, and renal impairment are multifactorial, leading to delayed recognition and management of this complication. We report a successful outcome following early intervention for hyperacute TA-TMA after allogeneic HSCT.