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March 2, 2026Open Access

Case Series and Literature Narrative Review of Immune-Mediated Thrombotic Thrombocytopenic Purpura in Children

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Authors

LRLetiția-Elena RaduCarol Davila University of Medicine and PharmacyAȘAndreea Nicoleta ȘerbănicăCarol Davila University of Medicine and PharmacyAMAndra Daniela MarcuCarol Davila University of Medicine and Pharmacy

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Implication

Case series examines pediatric immune-mediated thrombotic thrombocytopenic purpura, suggesting the need for timely diagnosis and treatment.

Key Points

  • This study aims to describe the clinical features, diagnosis, and treatment of pediatric iTTP.
  • Conducted a retrospective case series of pediatric iTTP patients.
  • Reviewed clinical presentations and laboratory findings at a tertiary center.
  • Performed a literature review of pediatric secondary TTP studies from the last five years.
  • Four pediatric patients were diagnosed with iTTP, all showing severe thrombocytopenia.
  • Neurologic symptoms were noted in three out of four cases.
  • All patients had severe ADAMTS13 activity deficiency with positive inhibitors.
  • The condition was linked to various autoimmune disorders or had no identifiable trigger.
  • Early diagnosis was aided by high clinical probability scores and required prompt, directed therapy.

Cite This Study

Radu et al. (2026) studied this question.

synapsesocial.com/papers/69a52e45f1e85e5c73bf1c63https://doi.org/10.3390/children13030350
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Atypical Presentations of Pediatric-acquired Thrombotic Thrombocytopenic Purpura2024 · 1 citations
  2. 2Presenting Phenotypes and Early Diagnostic Approach in Immune Thrombotic Thrombocytopenic Purpura: A Narrative Review for Emergency and Acute Care Practice2026
  3. 3Severe Immune-Mediated Thrombotic Thrombocytopenic Purpura With High-Titer ADAMTS13 Inhibitors: A Case Report2026
  4. 4Analysis of clinical factors in first diagnosis of immune thrombotic thrombocytopenic purpura with report of 6 cases2024
  5. 5Severe immune thrombotic thrombocytopenic purpura with neurologic involvement: a case report2026