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June 7, 2025Transfusion and Apheresis ScienceOpen Access

Relapse and beyond: Navigating the long-term clinical impacts of immune thrombotic thrombocytopenic purpura

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Authors

MTMinh‐Ha TranUniversity of California, IrvineJJJennifer JonesUniversity of Maryland, BaltimoreJQJesse QiaoUniversity of California, Irvine

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Overview

Narrative review highlights chronic neurological, cardiovascular, and psychological complications in immune thrombotic thrombocytopenic purpura survivors, indicating a need for multidisciplinary care.

Key Points

  • To review the long-term clinical sequelae, relapse patterns, and post-remission care strategies for patients surviving immune thrombotic thrombocytopenic purpura (iTTP).
  • Synthesized findings from a narrative review of clinical literature covering acute management, long-term morbidity, and surveillance strategies in iTTP.
  • Evaluated post-remission outcomes including persistent ADAMTS13 deficiency, relapse monitoring, and multidisciplinary care models.
  • Survivors of iTTP frequently endure chronic cognitive impairment, elevated risks for hypertension and arterial ischemic events, and significant mental health morbidities such as depression and anxiety.
  • Persistent ADAMTS13 deficiency indicates an ongoing risk of relapse, underscoring the necessity of proactive longitudinal monitoring and individualized preemptive therapy.

Cite This Study

Tran et al. (2025) studied this question.

synapsesocial.com/papers/6a9fe7f025a538586e5cc312https://doi.org/10.1016/j.transci.2025.104174
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Also Consider

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

  1. 1Challenges and opportunities in the long-term management of immune-mediated TTP2025
  2. 2IMMUNE THROMBOTIC THROMBOCYTOPENIC PURPURA: PATHOPHYSIOLOGY, DIAGNOSIS AND OPEN ISSUES.2024 · 5 citations
  3. 3Severe immune thrombotic thrombocytopenic purpura with neurologic involvement: a case report2026
  4. 4The complement factor B inhibitor iptacopan for relapsed and refractory immune thrombotic thrombocytopenic purpura2026
  5. 5Tailored treatment of acute immune-mediated thrombotic thrombocytopenic purpura2025