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Szczepiorkowski ZM, Bandarenko N, Kim HC, et al. Guidelines on the use of therapeutic apheresis in clinical practice-evidence-based approach from the apheresis applications committee of the American Society for Apheresis. J Clin Apheresis 2007; 22:106-175. Revised, updated discussions of individual diseases treated by therapeutic apheresis are presented. A 'fact sheet' format is used that presents a one-page summary of rationale, clinical and technical information for each disease along with an assessment of the quality of the evidence for benefit.
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A patient who developed AHA during chemotherapy improved after treatment that included prednisone and TPE
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Buti S, Ricco M, Chiesa MD, et al. Oxaliplatin-induced hemolytic anemia during adjuvant treatment of a patient with colon cancer: a case report. Anticancer Drugs 2007; 18:297-300. A patient who developed AHA during chemotherapy improved after treatment that included prednisone and TPE.
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Valentini RP, Imam A, Warrier I, et al. Sirolimus rescue for tacrolimus-associated posttransplant autoimmune hemolytic anemia. Pediatr Transplant 2006; 10:358-361. Posttransplant CAD did not respond to TPE but resolved after a change in antirejection drugs.
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George JN. Thrombotic thrombocytopenic purpura. N Engl J Med 2006; 354:1927-1935. A respected clinical hematologist presents the prevalent standard of care that most patients with otherwise unexplained thrombocytopenia and schistocytic anemia should receive urgent, daily TPE regardless of whether the clinical picture suggests TTP or HUS and regardless of ADAMTS13 levels; 80-90% survival is said to be expected. The mechanism of action of TPE is not elucidated.
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