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10.1016/j.transci.2021.103174

http://scihub22266oqcxt.onion/10.1016/j.transci.2021.103174
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34088601!?!34088601

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suck abstract from ncbi

pmid34088601      Transfus+Apher+Sci 2021 ; 60 (4): 103174
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  • Therapeutic plasma exchange (TPE) as a plausible rescue therapy in severe vaccine-induced immune thrombotic thrombocytopenia #MMPMID34088601
  • Rock G; Weber V; Stegmayr B
  • Transfus Apher Sci 2021[Aug]; 60 (4): 103174 PMID34088601show ga
  • Vaccine-induced immune thrombotic thrombocytopenia (VITT) is associated with high titers of immunoglobulin G class antibodies directed against the cationic platelet chemokine platelet factor 4 (PF4). These antibodies activate platelets via FcgammaIIa receptors. VITT closely resembles heparin-induced thrombocytopenia. Inflammation and tissue trauma substantially increase the risk for forming pathogenic PF4 antibodies. We therefore propose the use of therapeutic plasma exchange as rescue therapy in VITT to deplete antibodies plus factors promoting inflammation such as excess cytokines in the circulation as well as extracellular vesicles derived from activated platelets.
  • |*Plasma Exchange/adverse effects/methods[MESH]
  • |*Salvage Therapy[MESH]
  • |Albumins[MESH]
  • |Antibody Specificity[MESH]
  • |Anticoagulants[MESH]
  • |Autoantibodies/immunology[MESH]
  • |COVID-19 Vaccines/*adverse effects/pharmacology[MESH]
  • |ChAdOx1 nCoV-19[MESH]
  • |Citrates[MESH]
  • |Contraindications, Procedure[MESH]
  • |Cytokines/blood[MESH]
  • |Extracellular Vesicles[MESH]
  • |Humans[MESH]
  • |Immunoglobulin G/immunology[MESH]
  • |Immunosuppression Therapy[MESH]
  • |Inflammation[MESH]
  • |Platelet Activation[MESH]
  • |Platelet Factor 4/*immunology[MESH]
  • |Platelet Transfusion/adverse effects[MESH]
  • |Purpura, Thrombotic Thrombocytopenic/etiology/immunology/*therapy[MESH]
  • |Registries[MESH]
  • |Thrombocytopenia/etiology[MESH]


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