Complement in Health and Disease

Sep 16, 2017 by in HEMATOLOGY Comments Off on Complement in Health and Disease

Robert A. Brodsky, MD, Editor Related posts: Complement in Health and Disease Ultralarge Von Willebrand Factor–Induced Platelet Clumping and Activation of the Alternative Complement Pathway in Thrombotic Thrombocytopenic Purpura and…

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Current and Future Pharmacologic Complement Inhibitors

Mar 1, 2017 by in HEMATOLOGY Comments Off on Current and Future Pharmacologic Complement Inhibitors

The availability of anticomplement therapies has been a major achievement for medicine in the last decade. Indeed, eculizumab has changed the treatment paradigm of paroxysmal nocturnal hemoglobinuria and atypical hemolytic…

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Thrombotic Microangiopathy

Mar 1, 2017 by in HEMATOLOGY Comments Off on Thrombotic Microangiopathy

Thrombotic microangiopathies (TMA) such as atypical hemolytic uremic syndrome (aHUS) have evolved from rare, fulminant childhood afflictions to uncommon diseases with acute and chronic phases involving both children and adults….

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Shiga Toxin Associated Hemolytic Uremic Syndrome

Mar 1, 2017 by in HEMATOLOGY Comments Off on Shiga Toxin Associated Hemolytic Uremic Syndrome

Shiga toxin associated hemolytic uremic syndrome (Stx HUS), a thrombotic microangiopathy, is the most common cause of pediatric acute kidney injury but has no direct treatment. A better understanding of…

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Congenital CD59 Deficiency

Mar 1, 2017 by in HEMATOLOGY Comments Off on Congenital CD59 Deficiency

The severe clinical symptoms of inherited CD59 deficiency confirm the importance of CD59 as essential complement regulatory protein for protection of cells against complement attack, in particular protection of hematopoietic…

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Paroxysmal Nocturnal Hemoglobinuria

Mar 1, 2017 by in HEMATOLOGY Comments Off on Paroxysmal Nocturnal Hemoglobinuria

Paroxysmal nocturnal hemoglobinuria is manifests with a chronic hemolytic anemia from uncontrolled complement activation, a propensity for thrombosis and marrow failure. The hemolysis is largely mediated by the alternative pathway…

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Ultralarge Von Willebrand Factor–Induced Platelet Clumping and Activation of the Alternative Complement Pathway in Thrombotic Thrombocytopenic Purpura and the Hemolytic-Uremic Syndromes

Mar 1, 2017 by in HEMATOLOGY Comments Off on Ultralarge Von Willebrand Factor–Induced Platelet Clumping and Activation of the Alternative Complement Pathway in Thrombotic Thrombocytopenic Purpura and the Hemolytic-Uremic Syndromes

The molecular linkage between ultralarge (UL) von Willebrand factor (VWF) multimers and the alternative complement pathway (AP) has recently been described. Endothelial cell (EC)-secreted and anchored ULVWF multimers (in long…

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Paroxysmal Cold Hemoglobinuria

Mar 1, 2017 by in HEMATOLOGY Comments Off on Paroxysmal Cold Hemoglobinuria

Paroxysmal cold hemoglobinuria is a rare cause of autoimmune hemolytic anemia predominantly seen as an acute form in young children after viral illnesses and in a chronic form in some…

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Cold Agglutinin-Mediated Autoimmune Hemolytic Anemia

Mar 1, 2017 by in HEMATOLOGY Comments Off on Cold Agglutinin-Mediated Autoimmune Hemolytic Anemia

Cold antibody types account for about 25% of autoimmune hemolytic anemias. Primary chronic cold agglutinin disease (CAD) is characterized by a clonal lymphoproliferative disorder. Secondary cold agglutinin syndrome (CAS) complicates…

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Hemolysis from ABO Incompatibility

Mar 1, 2017 by in HEMATOLOGY Comments Off on Hemolysis from ABO Incompatibility

ABO incompatibility of red blood cells leads to brisk complement-mediated lysis, particularly in the setting of red cell transfusion. The ABO blood group is the most clinically significant blood group…

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