Table 1. Definitions of transplant-associated thrombotic microangiopathy [7].
| O-TMA [7] | CTN-TMA [5] | IWG-TMA [6] | |
|---|---|---|---|
| Normal coagulation assaysa | Yes | Yes | Yes |
| Schistocytosis | ≥ 2/HPF | ≥ 2/HPF | ≥ 8/HPF |
| Increase in serum LDH | Yes | Yes | Yes |
| Concurrent renalb and/or neurologic dysfunction without other explanations | Yes | ||
| Negative Coombs test | Yes | Yes | |
| Thrombocytopeniac | Yes | Yes | |
| Decrease in hemoglobin concentration | Yes | Yes | |
| Decrease in serum haptoglobin | Yes | Yes |
LDH = lactate dehydrogenase. aProthrombin time and activated partial thromboplastin time; bdoubling of serum creatinine from baseline or 50% decrease in creatinine clearance from baseline; cde novo, prolonged, or progressive thrombocytopenia (platelet count < 50,000/µL or > 50% reduction.