Table 4.

Relation of presenting features and clinical outcomes of 142 patients with clinically diagnosed TTP-HUS to clinical categories


Clinical category, (no. of patients)

Severe neurologic abnormalities, % (proportion)

Acute renal failure, % (proportion)

Response, % (proportion)

TTP-HUS-associated death, % (proportion)

All death, % (proportion)

Relapse, % (proportion)*
Stem cell transplantation (7)   57 (4/7)   0 (0/7)   0 (0/7)   86 (6/7)   100 (7/7)   0 (0/1)  
Pregnancy/postpartum (10)   20 (2/10)   70 (7/10)   90 (9/10)   10 (1/10)   10 (1/10)   11 (1/9)  
Drug associated (21)   24 (5/21)   67 (14/21)   86 (18/21)   10 (2/21)   43 (9/21)   5 (1/19)  
Bloody diarrhea (10)   60 (6/10)   70 (7/10)   80 (8/10)   40 (4/10)   40 (4/10)   0 (0/6)  
Additional/alternative disorders (46)   65 (30/46)   46 (21/46)   28 (13/46)   61 (28/46)   76 (35/46)   6 (1/18)  
Idiopathic (48)
 
52 (25/48)
 
25 (12/48)
 
79 (38/48)
 
21 (10/48)
 
31 (15/48)
 
21 (8/39)
 

Clinical category, (no. of patients)

Severe neurologic abnormalities, % (proportion)

Acute renal failure, % (proportion)

Response, % (proportion)

TTP-HUS-associated death, % (proportion)

All death, % (proportion)

Relapse, % (proportion)*
Stem cell transplantation (7)   57 (4/7)   0 (0/7)   0 (0/7)   86 (6/7)   100 (7/7)   0 (0/1)  
Pregnancy/postpartum (10)   20 (2/10)   70 (7/10)   90 (9/10)   10 (1/10)   10 (1/10)   11 (1/9)  
Drug associated (21)   24 (5/21)   67 (14/21)   86 (18/21)   10 (2/21)   43 (9/21)   5 (1/19)  
Bloody diarrhea (10)   60 (6/10)   70 (7/10)   80 (8/10)   40 (4/10)   40 (4/10)   0 (0/6)  
Additional/alternative disorders (46)   65 (30/46)   46 (21/46)   28 (13/46)   61 (28/46)   76 (35/46)   6 (1/18)  
Idiopathic (48)
 
52 (25/48)
 
25 (12/48)
 
79 (38/48)
 
21 (10/48)
 
31 (15/48)
 
21 (8/39)
 

Presenting features, clinical outcomes, and clinical categories are defined in “Patients and methods.” There was no difference in the relative frequency of severe neurologic abnormalities (P = .814). Patients with idiopathic TTP-HUS had a lower relative frequency of acute renal failure, a higher response rate, a lower TTP-HUS-associated death rate, a lower overall death rate, and a higher relative frequency of relapse compared with patients in other categories (P < .05).

*

The denominator is the number of patients who achieved a remission.

Patients in the idiopathic clinical category were compared with patients in all other categories (idiopathic versus the combined categories of other patients).

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