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      • Журнал Терапевтический архив 2021
      • Журнал Терапевтический архив 2021, № 6 Вопросы нефрологии
      • Лечение приобретенной тромботической тромбоцитопенической пурпуры
      Галстян Г.М., Масчан А.А., Клебанова Е.Е., Калинина И.И. Лечение приобретенной тромботической тромбоцитопенической пурпуры. Терапевтический архив. 2021; 93 (6): 736–745.
      DOI: 10.26442/00403660.2021.06.200894

      ________________________________________________

      Galstyan GM, Maschan AA, Klebanova EE, Kalinina II. Treatment of thrombotic thrombocytopenic purpura. Terapevticheskii Arkhiv (Ter. Arkh). 2021; 93 (6): 736–745. DOI: 10.26442/00403660.2021.06.200894

      Лечение приобретенной тромботической тромбоцитопенической пурпуры

      Галстян Г.М., Масчан А.А., Клебанова Е.Е., Калинина И.И. Лечение приобретенной тромботической тромбоцитопенической пурпуры. Терапевтический архив. 2021; 93 (6): 736–745.
      DOI: 10.26442/00403660.2021.06.200894

      ________________________________________________

      Galstyan GM, Maschan AA, Klebanova EE, Kalinina II. Treatment of thrombotic thrombocytopenic purpura. Terapevticheskii Arkhiv (Ter. Arkh). 2021; 93 (6): 736–745. DOI: 10.26442/00403660.2021.06.200894

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        Лечение приобретенной тромботической тромбоцитопенической пурпуры

      Материалы доступны только для специалистов сферы здравоохранения. Авторизуйтесь или зарегистрируйтесь.

      • Аннотация
      • Список литературы
      • Авторы
      Аннотация
      Обсуждаются подходы к лечению приобретенной тромботической тромбоцитопенической пурпуры (ТТП). Плазмообмены, глюкокортикостероидные гормоны позволяют купировать острый приступ ТТП, а применение ритуксимаба – достигнуть ремиссии. В последние годы используется каплацизумаб, обсуждается его место в лечении ТТП. Описано также применение циклоспорина А, бортезомиба, спленэктомии, N-ацетилцистеина, рекомбинантного ADAMTS13, сопутствующей терапии. Обсуждаются вопросы ведения пациенток с ТТП во время беременности, лечения ТТП у детей.

      Ключевые слова: ADAMTS13, тромботическая тромбоцитопеническая пурпура, беременность, плазмообмен, ритуксимаб, циклоспорин А, бортезомиб, N-ацетилцистеин, каплацизумаб, рекомбинантный ADAMTS13 

      ________________________________________________

      The review discusses approaches to treatment of acquired thrombotic thrombocytopenic purpuгa (aTTP). In patients with aTTP plasma exchanges, glucocorticosteroids allow to stop an acute attack of TTP, and use of rituximab allows to achieve remission. In recent years, caplacizumab has been used. Treatment options such as cyclosporin A, bortezomib, splenectomy, N-acetylcysteine, recombinant ADAMTS13 are also described. Separately discussed issues of management of patients with TTP during pregnancy, and pediatric patients with TTP.

      Keywords: ADAMTS13, thrombotic thrombocytopenic purpura, pregnancy, therapeutic plasma exchange, rituximab, cyclosporine A, bortezomib, N-acetylcysteine, caplacizumab, recombinant ADAMTS13

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      Авторы
      Г.М. Галстян*1, А.А. Масчан2, Е.Е. Клебанова1, И.И. Калинина2

      1 ФГБУ «Национальный медицинский исследовательский центр гематологии» Минздрава России, Москва, Россия;
      2 ФГБУ «Национальный медицинский исследовательский центр детской гематологии, онкологии и иммунологии им. Дмитрия Рогачева» Минздрава России, Москва, Россия
      *gengalst@gmail.com

      ________________________________________________

      Gennadii M. Galstyan*1, Alexei A. Maschan2, Elizaveta E. Klebanova1, Irina I. Kalinina2

      1 National Research Center for Hematology, Moscow, Russia;
      2 Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia
      *gengalst@gmail.com


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