Title |
Differences and similarities between disseminated intravascular coagulation and thrombotic microangiopathy
|
---|---|
Published in |
Thrombosis Journal, July 2018
|
DOI | 10.1186/s12959-018-0168-2 |
Pubmed ID | |
Authors |
Hideo Wada, Takeshi Matsumoto, Kei Suzuki, Hiroshi Imai, Naoyuki Katayama, Toshiaki Iba, Masanori Matsumoto |
Abstract |
Both disseminated intravascular coagulation (DIC) and thrombotic microangiopathy (TMA) cause microvascular thrombosis associated with thrombocytopenia, bleeding tendency and organ failure. The frequency of DIC is higher than that of thrombotic thrombocytopenic purpura (TTP). Many patients with TMA are diagnosed with DIC, but only about 15% of DIC patients are diagnosed with TMA. Hyperfibrinolysis is observed in most patients with DIC, and microangiopathic hemolytic anemia is observed in most patients with TMA. Markedly decreased ADAMTS13 activity, the presence of Shiga-toxin-producing Escherichia coli (STEC) and abnormality of the complement system are useful for the diagnosis of TTP, STEC-hemolytic uremic syndrome (HUS)and atypical HUS, respectively. However, there are no specific biomarkers for the diagnosis of DIC. Although DIC and TMA are similar appearances, all coagulation, fibrinolysis and platelet systems are activated in DIC, and only platelets are markedly activated in TMA. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 5 | 31% |
Australia | 3 | 19% |
Mexico | 2 | 13% |
Bosnia and Herzegovina | 1 | 6% |
Spain | 1 | 6% |
Unknown | 4 | 25% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 56% |
Practitioners (doctors, other healthcare professionals) | 3 | 19% |
Scientists | 3 | 19% |
Science communicators (journalists, bloggers, editors) | 1 | 6% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 115 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 13 | 11% |
Student > Bachelor | 11 | 10% |
Other | 9 | 8% |
Student > Master | 9 | 8% |
Student > Ph. D. Student | 8 | 7% |
Other | 22 | 19% |
Unknown | 43 | 37% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 46 | 40% |
Biochemistry, Genetics and Molecular Biology | 5 | 4% |
Immunology and Microbiology | 4 | 3% |
Nursing and Health Professions | 3 | 3% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 3% |
Other | 11 | 10% |
Unknown | 43 | 37% |