Table 1.
Reference | Gender/age, years | TTP diagnosis time relative to SARS-CoV-2 infection | SARS-CoV-2 swab | COVID 19 disease severity | TTP treatment | TTP course |
---|---|---|---|---|---|---|
Our case | Female/62 | Concomitant | Positive | Mild | PEX (n = 5, 1st relapse n = 3, 2nd relapse n = 5), steroids, caplacizumab, and rituximab | Two relapses |
Hindilerden et al. [1] | Female/74 | Concomitant | Positive | Mild | PEX (n = 11) Steroids | Lethargy − resolved |
Albiol et al. [2] | Female/57 | Concomitant | Negative (referred to as false negative, followed by positive serology) | Mild | Steroids, intravenous immunoglobulin PEX (n = 7) |
Uneventful |
Capecchi et al. [3] Female/55 | Relapsed TTP following recovery from SARS CoV-2 | Negative (positive serology suggesting a recent infection) | Mild Severe post-COVID pulmonary complications | Plasma infusion PEX (n = 14) Steroids caplacizumab | Severe neurological symptoms, multi-organ failure, DIC Intracranial hemorrhage |
iTTP, immune thrombotic thrombocytopenic purpura.