id sid tid token lemma pos cord-018142-xt71w4nr 1 1 key key JJ cord-018142-xt71w4nr 2 1 : : : cord-018142-xt71w4nr 2 2 cord-018142-xt71w4nr cord-018142-xt71w4nr NN cord-018142-xt71w4nr 2 3 authors author NNS cord-018142-xt71w4nr 2 4 : : : cord-018142-xt71w4nr 2 5 Samy Samy NNP cord-018142-xt71w4nr 2 6 Modeliar Modeliar NNP cord-018142-xt71w4nr 2 7 , , , cord-018142-xt71w4nr 2 8 S. S. NNP cord-018142-xt71w4nr 2 9 ; ; : cord-018142-xt71w4nr 2 10 Monge Monge NNP cord-018142-xt71w4nr 2 11 , , , cord-018142-xt71w4nr 2 12 M. M. NNP cord-018142-xt71w4nr 2 13 ; ; : cord-018142-xt71w4nr 2 14 Slama Slama NNP cord-018142-xt71w4nr 2 15 , , , cord-018142-xt71w4nr 3 1 M. M. NNP cord-018142-xt71w4nr 3 2 title title NN cord-018142-xt71w4nr 3 3 : : : cord-018142-xt71w4nr 3 4 Thrombotic Thrombotic NNP cord-018142-xt71w4nr 3 5 Microangiopathy Microangiopathy NNP cord-018142-xt71w4nr 3 6 Syndrome Syndrome NNP cord-018142-xt71w4nr 3 7 in in IN cord-018142-xt71w4nr 3 8 the the DT cord-018142-xt71w4nr 3 9 ICU ICU NNP cord-018142-xt71w4nr 3 10 date date NN cord-018142-xt71w4nr 3 11 : : : cord-018142-xt71w4nr 3 12 2006 2006 CD cord-018142-xt71w4nr 3 13 journal journal NN cord-018142-xt71w4nr 3 14 : : : cord-018142-xt71w4nr 3 15 Yearbook Yearbook NNP cord-018142-xt71w4nr 3 16 of of IN cord-018142-xt71w4nr 3 17 Intensive Intensive NNP cord-018142-xt71w4nr 3 18 Care Care NNP cord-018142-xt71w4nr 3 19 and and CC cord-018142-xt71w4nr 3 20 Emergency Emergency NNP cord-018142-xt71w4nr 3 21 Medicine Medicine NNP cord-018142-xt71w4nr 3 22 DOI DOI NNP cord-018142-xt71w4nr 3 23 : : : cord-018142-xt71w4nr 3 24 10.1007/3 10.1007/3 CD cord-018142-xt71w4nr 3 25 - - HYPH cord-018142-xt71w4nr 3 26 540 540 CD cord-018142-xt71w4nr 3 27 - - HYPH cord-018142-xt71w4nr 3 28 33396 33396 CD cord-018142-xt71w4nr 4 1 -7_20 -7_20 NNP cord-018142-xt71w4nr 4 2 sha sha NNP cord-018142-xt71w4nr 4 3 : : : cord-018142-xt71w4nr 4 4 b53d66837274c59928b2f0f3d7e0b73588359046 b53d66837274c59928b2f0f3d7e0b73588359046 NNP cord-018142-xt71w4nr 4 5 doc_id doc_id CD cord-018142-xt71w4nr 4 6 : : : cord-018142-xt71w4nr 4 7 18142 18142 CD cord-018142-xt71w4nr 4 8 cord_uid cord_uid NNS cord-018142-xt71w4nr 4 9 : : : cord-018142-xt71w4nr 5 1 xt71w4nr xt71w4nr XX cord-018142-xt71w4nr 6 1 Major major JJ cord-018142-xt71w4nr 6 2 studies study NNS cord-018142-xt71w4nr 6 3 designed design VBN cord-018142-xt71w4nr 6 4 to to TO cord-018142-xt71w4nr 6 5 improve improve VB cord-018142-xt71w4nr 6 6 our -PRON- PRP$ cord-018142-xt71w4nr 6 7 understanding understanding NN cord-018142-xt71w4nr 6 8 of of IN cord-018142-xt71w4nr 6 9 the the DT cord-018142-xt71w4nr 6 10 pathophysiology pathophysiology NN cord-018142-xt71w4nr 6 11 of of IN cord-018142-xt71w4nr 6 12 TMA TMA NNP cord-018142-xt71w4nr 6 13 have have VBP cord-018142-xt71w4nr 6 14 been be VBN cord-018142-xt71w4nr 6 15 conducted conduct VBN cord-018142-xt71w4nr 6 16 over over IN cord-018142-xt71w4nr 6 17 recent recent JJ cord-018142-xt71w4nr 6 18 years year NNS cord-018142-xt71w4nr 6 19 . . . cord-018142-xt71w4nr 7 1 This this DT cord-018142-xt71w4nr 7 2 improved improve VBN cord-018142-xt71w4nr 7 3 knowledge knowledge NN cord-018142-xt71w4nr 7 4 opens open VBZ cord-018142-xt71w4nr 7 5 up up RP cord-018142-xt71w4nr 7 6 new new JJ cord-018142-xt71w4nr 7 7 perspectives perspective NNS cord-018142-xt71w4nr 7 8 for for IN cord-018142-xt71w4nr 7 9 more more RBR cord-018142-xt71w4nr 7 10 targeted target VBN cord-018142-xt71w4nr 7 11 treatment treatment NN cord-018142-xt71w4nr 7 12 . . . cord-018142-xt71w4nr 8 1 However however RB cord-018142-xt71w4nr 8 2 , , , cord-018142-xt71w4nr 8 3 until until IN cord-018142-xt71w4nr 8 4 these these DT cord-018142-xt71w4nr 8 5 innovative innovative JJ cord-018142-xt71w4nr 8 6 treatments treatment NNS cord-018142-xt71w4nr 8 7 become become VBP cord-018142-xt71w4nr 8 8 available available JJ cord-018142-xt71w4nr 8 9 , , , cord-018142-xt71w4nr 8 10 early early JJ cord-018142-xt71w4nr 8 11 diagnosis diagnosis NN cord-018142-xt71w4nr 8 12 of of IN cord-018142-xt71w4nr 8 13 these these DT cord-018142-xt71w4nr 8 14 diseases disease NNS cord-018142-xt71w4nr 8 15 is be VBZ cord-018142-xt71w4nr 8 16 essential essential JJ cord-018142-xt71w4nr 8 17 in in IN cord-018142-xt71w4nr 8 18 order order NN cord-018142-xt71w4nr 8 19 to to TO cord-018142-xt71w4nr 8 20 rapidly rapidly RB cord-018142-xt71w4nr 8 21 initiate initiate VB cord-018142-xt71w4nr 8 22 specific specific JJ cord-018142-xt71w4nr 8 23 treatment treatment NN cord-018142-xt71w4nr 8 24 , , , cord-018142-xt71w4nr 8 25 as as IN cord-018142-xt71w4nr 8 26 the the DT cord-018142-xt71w4nr 8 27 interval interval NN cord-018142-xt71w4nr 8 28 between between IN cord-018142-xt71w4nr 8 29 diagnosis diagnosis NN cord-018142-xt71w4nr 8 30 and and CC cord-018142-xt71w4nr 8 31 initiation initiation NN cord-018142-xt71w4nr 8 32 of of IN cord-018142-xt71w4nr 8 33 plasma plasma NN cord-018142-xt71w4nr 8 34 exchange exchange NN cord-018142-xt71w4nr 8 35 is be VBZ cord-018142-xt71w4nr 8 36 a a DT cord-018142-xt71w4nr 8 37 decisive decisive JJ cord-018142-xt71w4nr 8 38 element element NN cord-018142-xt71w4nr 8 39 in in IN cord-018142-xt71w4nr 8 40 the the DT cord-018142-xt71w4nr 8 41 prognosis prognosis NN cord-018142-xt71w4nr 8 42 of of IN cord-018142-xt71w4nr 8 43 TTP TTP NNP cord-018142-xt71w4nr 8 44 . . . cord-018142-xt71w4nr 9 1 Treatment treatment NN cord-018142-xt71w4nr 9 2 must must MD cord-018142-xt71w4nr 9 3 not not RB cord-018142-xt71w4nr 9 4 be be VB cord-018142-xt71w4nr 9 5 stopped stop VBN cord-018142-xt71w4nr 9 6 too too RB cord-018142-xt71w4nr 9 7 early early RB cord-018142-xt71w4nr 9 8 or or CC cord-018142-xt71w4nr 9 9 too too RB cord-018142-xt71w4nr 9 10 rapidly rapidly RB cord-018142-xt71w4nr 9 11 and and CC cord-018142-xt71w4nr 9 12 must must MD cord-018142-xt71w4nr 9 13 take take VB cord-018142-xt71w4nr 9 14 into into IN cord-018142-xt71w4nr 9 15 account account NN cord-018142-xt71w4nr 9 16 the the DT cord-018142-xt71w4nr 9 17 various various JJ cord-018142-xt71w4nr 9 18 associated associate VBN cord-018142-xt71w4nr 9 19 factors factor NNS cord-018142-xt71w4nr 9 20 , , , cord-018142-xt71w4nr 9 21 especially especially RB cord-018142-xt71w4nr 9 22 the the DT cord-018142-xt71w4nr 9 23 presence presence NN cord-018142-xt71w4nr 9 24 of of IN cord-018142-xt71w4nr 9 25 infection infection NN cord-018142-xt71w4nr 9 26 . . . cord-018142-xt71w4nr 10 1 z z LS cord-018142-xt71w4nr 10 2 Pathophysiology Pathophysiology NNP cord-018142-xt71w4nr 11 1 The the DT cord-018142-xt71w4nr 11 2 early early JJ cord-018142-xt71w4nr 11 3 phenomenon phenomenon NN cord-018142-xt71w4nr 11 4 common common JJ cord-018142-xt71w4nr 11 5 to to IN cord-018142-xt71w4nr 11 6 all all DT cord-018142-xt71w4nr 11 7 forms form NNS cord-018142-xt71w4nr 11 8 of of IN cord-018142-xt71w4nr 11 9 TMA TMA NNP cord-018142-xt71w4nr 11 10 is be VBZ cord-018142-xt71w4nr 11 11 damage damage NN cord-018142-xt71w4nr 11 12 to to IN cord-018142-xt71w4nr 11 13 , , , cord-018142-xt71w4nr 11 14 or or CC cord-018142-xt71w4nr 11 15 activation activation NN cord-018142-xt71w4nr 11 16 of of IN cord-018142-xt71w4nr 11 17 , , , cord-018142-xt71w4nr 11 18 the the DT cord-018142-xt71w4nr 11 19 vascular vascular JJ cord-018142-xt71w4nr 11 20 endothelium endothelium NN cord-018142-xt71w4nr 11 21 , , , cord-018142-xt71w4nr 11 22 responsible responsible JJ cord-018142-xt71w4nr 11 23 for for IN cord-018142-xt71w4nr 11 24 local local JJ cord-018142-xt71w4nr 11 25 platelet platelet NN cord-018142-xt71w4nr 11 26 aggregation aggregation NN cord-018142-xt71w4nr 11 27 , , , cord-018142-xt71w4nr 11 28 promoting promote VBG cord-018142-xt71w4nr 11 29 the the DT cord-018142-xt71w4nr 11 30 formation formation NN cord-018142-xt71w4nr 11 31 of of IN cord-018142-xt71w4nr 11 32 platelet platelet NN cord-018142-xt71w4nr 11 33 thrombi thrombi NN cord-018142-xt71w4nr 11 34 in in IN cord-018142-xt71w4nr 11 35 the the DT cord-018142-xt71w4nr 11 36 microcirculation microcirculation NN cord-018142-xt71w4nr 11 37 . . . cord-018142-xt71w4nr 12 1 Various various JJ cord-018142-xt71w4nr 12 2 factors factor NNS cord-018142-xt71w4nr 12 3 are be VBP cord-018142-xt71w4nr 12 4 responsible responsible JJ cord-018142-xt71w4nr 12 5 for for IN cord-018142-xt71w4nr 12 6 this this DT cord-018142-xt71w4nr 12 7 endothelial endothelial JJ cord-018142-xt71w4nr 12 8 cell cell NN cord-018142-xt71w4nr 12 9 activation activation NN cord-018142-xt71w4nr 12 10 : : : cord-018142-xt71w4nr 12 11 infections infection NNS cord-018142-xt71w4nr 12 12 , , , cord-018142-xt71w4nr 12 13 drugs drug NNS cord-018142-xt71w4nr 12 14 , , , cord-018142-xt71w4nr 12 15 cancers cancer NNS cord-018142-xt71w4nr 12 16 , , , cord-018142-xt71w4nr 12 17 stem stem VBP cord-018142-xt71w4nr 12 18 cell cell NN cord-018142-xt71w4nr 12 19 transplantation transplantation NN cord-018142-xt71w4nr 12 20 , , , cord-018142-xt71w4nr 12 21 etc etc FW cord-018142-xt71w4nr 12 22 . . . cord-018142-xt71w4nr 13 1 [ [ -LRB- cord-018142-xt71w4nr 13 2 2 2 CD cord-018142-xt71w4nr 13 3 ] ] -RRB- cord-018142-xt71w4nr 13 4 . . . cord-018142-xt71w4nr 14 1 Role role NN cord-018142-xt71w4nr 14 2 of of IN cord-018142-xt71w4nr 14 3 von von NNP cord-018142-xt71w4nr 14 4 Willebrand Willebrand NNP cord-018142-xt71w4nr 14 5 factor factor NN cord-018142-xt71w4nr 14 6 ( ( -LRB- cord-018142-xt71w4nr 14 7 vWF vWF NNP cord-018142-xt71w4nr 14 8 ) ) -RRB- cord-018142-xt71w4nr 14 9 and and CC cord-018142-xt71w4nr 14 10 ADAMTS-13 adamts-13 ADD cord-018142-xt71w4nr 14 11 protein protein NN cord-018142-xt71w4nr 14 12 ( ( -LRB- cord-018142-xt71w4nr 14 13 A a DT cord-018142-xt71w4nr 14 14 Disintegrin Disintegrin NNP cord-018142-xt71w4nr 14 15 And and CC cord-018142-xt71w4nr 14 16 Metalloprotease Metalloprotease NNP cord-018142-xt71w4nr 14 17 with with IN cord-018142-xt71w4nr 14 18 ThromboSpondin ThromboSpondin NNP cord-018142-xt71w4nr 14 19 type type NN cord-018142-xt71w4nr 14 20 1 1 CD cord-018142-xt71w4nr 14 21 motif motif NN cord-018142-xt71w4nr 14 22 ) ) -RRB- cord-018142-xt71w4nr 14 23 . . . cord-018142-xt71w4nr 15 1 Physiologically physiologically RB cord-018142-xt71w4nr 15 2 , , , cord-018142-xt71w4nr 15 3 vWF vWF NNP cord-018142-xt71w4nr 15 4 is be VBZ cord-018142-xt71w4nr 15 5 a a DT cord-018142-xt71w4nr 15 6 multimeric multimeric JJ cord-018142-xt71w4nr 15 7 glycoprotein glycoprotein NN cord-018142-xt71w4nr 15 8 that that WDT cord-018142-xt71w4nr 15 9 triggers trigger VBZ cord-018142-xt71w4nr 15 10 the the DT cord-018142-xt71w4nr 15 11 formation formation NN cord-018142-xt71w4nr 15 12 of of IN cord-018142-xt71w4nr 15 13 platelet platelet NN cord-018142-xt71w4nr 15 14 clot clot NN cord-018142-xt71w4nr 15 15 , , , cord-018142-xt71w4nr 15 16 and and CC cord-018142-xt71w4nr 15 17 transport transport NN cord-018142-xt71w4nr 15 18 of of IN cord-018142-xt71w4nr 15 19 clotting clotting NN cord-018142-xt71w4nr 15 20 factor factor NN cord-018142-xt71w4nr 15 21 VIII VIII NNP cord-018142-xt71w4nr 15 22 . . . cord-018142-xt71w4nr 16 1 It -PRON- PRP cord-018142-xt71w4nr 16 2 is be VBZ cord-018142-xt71w4nr 16 3 synthesized synthesize VBN cord-018142-xt71w4nr 16 4 by by IN cord-018142-xt71w4nr 16 5 megakaryocytes megakaryocyte NNS cord-018142-xt71w4nr 16 6 and and CC cord-018142-xt71w4nr 16 7 endothelial endothelial JJ cord-018142-xt71w4nr 16 8 cells cell NNS cord-018142-xt71w4nr 16 9 , , , cord-018142-xt71w4nr 16 10 and and CC cord-018142-xt71w4nr 16 11 then then RB cord-018142-xt71w4nr 16 12 stored store VBN cord-018142-xt71w4nr 16 13 in in IN cord-018142-xt71w4nr 16 14 endothelial endothelial JJ cord-018142-xt71w4nr 16 15 and and CC cord-018142-xt71w4nr 16 16 platelet platelet NN cord-018142-xt71w4nr 16 17 Weibel Weibel NNP cord-018142-xt71w4nr 16 18 - - HYPH cord-018142-xt71w4nr 16 19 Palade Palade NNP cord-018142-xt71w4nr 16 20 bodies body NNS cord-018142-xt71w4nr 16 21 . . . cord-018142-xt71w4nr 17 1 Ultra ultra JJ cord-018142-xt71w4nr 17 2 - - JJ cord-018142-xt71w4nr 17 3 large large JJ cord-018142-xt71w4nr 17 4 vWF vwf IN cord-018142-xt71w4nr 17 5 multimers multimer NNS cord-018142-xt71w4nr 17 6 ( ( -LRB- cord-018142-xt71w4nr 17 7 ULvWF ULvWF NNP cord-018142-xt71w4nr 17 8 ) ) -RRB- cord-018142-xt71w4nr 17 9 are be VBP cord-018142-xt71w4nr 17 10 composed compose VBN cord-018142-xt71w4nr 17 11 of of IN cord-018142-xt71w4nr 17 12 several several JJ cord-018142-xt71w4nr 17 13 vWF vwf NN cord-018142-xt71w4nr 17 14 monomers monomer NNS cord-018142-xt71w4nr 17 15 linked link VBN cord-018142-xt71w4nr 17 16 by by IN cord-018142-xt71w4nr 17 17 disulfide disulfide JJ cord-018142-xt71w4nr 17 18 bonds bond NNS cord-018142-xt71w4nr 17 19 . . . cord-018142-xt71w4nr 18 1 vWF vWF NNP cord-018142-xt71w4nr 18 2 multimers multimers NNP cord-018142-xt71w4nr 18 3 have have VBP cord-018142-xt71w4nr 18 4 more more RBR cord-018142-xt71w4nr 18 5 intense intense JJ cord-018142-xt71w4nr 18 6 hemostatic hemostatic JJ cord-018142-xt71w4nr 18 7 properties property NNS cord-018142-xt71w4nr 18 8 than than IN cord-018142-xt71w4nr 18 9 monomers monomer NNS cord-018142-xt71w4nr 18 10 [ [ -LRB- cord-018142-xt71w4nr 18 11 2 2 CD cord-018142-xt71w4nr 18 12 ] ] -RRB- cord-018142-xt71w4nr 18 13 . . . cord-018142-xt71w4nr 19 1 The the DT cord-018142-xt71w4nr 19 2 ADAMTS-13 adamts-13 DT cord-018142-xt71w4nr 19 3 protein protein NN cord-018142-xt71w4nr 19 4 is be VBZ cord-018142-xt71w4nr 19 5 a a DT cord-018142-xt71w4nr 19 6 metalloprotease metalloprotease NN cord-018142-xt71w4nr 19 7 that that WDT cord-018142-xt71w4nr 19 8 cleaves cleave VBZ cord-018142-xt71w4nr 19 9 vWF vwf IN cord-018142-xt71w4nr 19 10 multimers multimers NNP cord-018142-xt71w4nr 19 11 into into IN cord-018142-xt71w4nr 19 12 monomers monomer NNS cord-018142-xt71w4nr 19 13 [ [ -LRB- cord-018142-xt71w4nr 19 14 3 3 CD cord-018142-xt71w4nr 19 15 , , , cord-018142-xt71w4nr 19 16 4 4 CD cord-018142-xt71w4nr 19 17 ] ] -RRB- cord-018142-xt71w4nr 19 18 . . . cord-018142-xt71w4nr 20 1 TTP TTP NNP cord-018142-xt71w4nr 20 2 is be VBZ cord-018142-xt71w4nr 20 3 associated associate VBN cord-018142-xt71w4nr 20 4 with with IN cord-018142-xt71w4nr 20 5 very very RB cord-018142-xt71w4nr 20 6 low low JJ cord-018142-xt71w4nr 20 7 levels level NNS cord-018142-xt71w4nr 20 8 of of IN cord-018142-xt71w4nr 20 9 ADAMTS-13 adamts-13 ADD cord-018142-xt71w4nr 20 10 protein protein NN cord-018142-xt71w4nr 20 11 activity activity NN cord-018142-xt71w4nr 20 12 1 1 CD cord-018142-xt71w4nr 20 13 , , , cord-018142-xt71w4nr 20 14 resulting result VBG cord-018142-xt71w4nr 20 15 in in IN cord-018142-xt71w4nr 20 16 elevated elevated JJ cord-018142-xt71w4nr 20 17 plasma plasma NN cord-018142-xt71w4nr 20 18 levels level NNS cord-018142-xt71w4nr 20 19 of of IN cord-018142-xt71w4nr 20 20 ULvWF ULvWF NNP cord-018142-xt71w4nr 20 21 [ [ -LRB- cord-018142-xt71w4nr 20 22 5 5 CD cord-018142-xt71w4nr 20 23 ] ] -RRB- cord-018142-xt71w4nr 20 24 . . . cord-018142-xt71w4nr 21 1 In in IN cord-018142-xt71w4nr 21 2 this this DT cord-018142-xt71w4nr 21 3 context context NN cord-018142-xt71w4nr 21 4 of of IN cord-018142-xt71w4nr 21 5 metalloprotease metalloprotease NNP cord-018142-xt71w4nr 21 6 deficiency deficiency NN cord-018142-xt71w4nr 21 7 , , , cord-018142-xt71w4nr 21 8 ULvWF ULvWF NNP cord-018142-xt71w4nr 21 9 are be VBP cord-018142-xt71w4nr 21 10 released release VBN cord-018142-xt71w4nr 21 11 in in IN cord-018142-xt71w4nr 21 12 response response NN cord-018142-xt71w4nr 21 13 to to IN cord-018142-xt71w4nr 21 14 endothelial endothelial JJ cord-018142-xt71w4nr 21 15 cell cell NN cord-018142-xt71w4nr 21 16 damage damage NN cord-018142-xt71w4nr 21 17 , , , cord-018142-xt71w4nr 21 18 and and CC cord-018142-xt71w4nr 21 19 then then RB cord-018142-xt71w4nr 21 20 accumulate accumulate VB cord-018142-xt71w4nr 21 21 and and CC cord-018142-xt71w4nr 21 22 adopt adopt VB cord-018142-xt71w4nr 21 23 an an DT cord-018142-xt71w4nr 21 24 optimal optimal JJ cord-018142-xt71w4nr 21 25 procoagulant procoagulant NN cord-018142-xt71w4nr 21 26 configuration configuration NN cord-018142-xt71w4nr 21 27 , , , cord-018142-xt71w4nr 21 28 resistant resistant JJ cord-018142-xt71w4nr 21 29 to to IN cord-018142-xt71w4nr 21 30 the the DT cord-018142-xt71w4nr 21 31 shearing shearing NN cord-018142-xt71w4nr 21 32 forces force NNS cord-018142-xt71w4nr 21 33 of of IN cord-018142-xt71w4nr 21 34 the the DT cord-018142-xt71w4nr 21 35 microcirculation microcirculation NN cord-018142-xt71w4nr 21 36 . . . cord-018142-xt71w4nr 22 1 ULvWF ULvWF NNP cord-018142-xt71w4nr 22 2 bind bind VB cord-018142-xt71w4nr 22 3 to to IN cord-018142-xt71w4nr 22 4 platelet platelet NN cord-018142-xt71w4nr 22 5 GPIIb GPIIb NNS cord-018142-xt71w4nr 22 6 and and CC cord-018142-xt71w4nr 22 7 GPIIb GPIIb NNP cord-018142-xt71w4nr 22 8 / / SYM cord-018142-xt71w4nr 22 9 IIIa iiia NN cord-018142-xt71w4nr 22 10 receptors receptor NNS cord-018142-xt71w4nr 22 11 , , , cord-018142-xt71w4nr 22 12 inducing induce VBG cord-018142-xt71w4nr 22 13 excessive excessive JJ cord-018142-xt71w4nr 22 14 platelet platelet NN cord-018142-xt71w4nr 22 15 aggregation aggregation NN cord-018142-xt71w4nr 22 16 . . . cord-018142-xt71w4nr 23 1 This this DT cord-018142-xt71w4nr 23 2 mechanism mechanism NN cord-018142-xt71w4nr 23 3 is be VBZ cord-018142-xt71w4nr 23 4 responsible responsible JJ cord-018142-xt71w4nr 23 5 for for IN cord-018142-xt71w4nr 23 6 consumption consumption NN cord-018142-xt71w4nr 23 7 thrombocytopenia thrombocytopenia NNS cord-018142-xt71w4nr 23 8 and and CC cord-018142-xt71w4nr 23 9 the the DT cord-018142-xt71w4nr 23 10 formation formation NN cord-018142-xt71w4nr 23 11 of of IN cord-018142-xt71w4nr 23 12 microthrombi microthrombi NNP cord-018142-xt71w4nr 23 13 decreasing decrease VBG cord-018142-xt71w4nr 23 14 the the DT cord-018142-xt71w4nr 23 15 caliber caliber NN cord-018142-xt71w4nr 23 16 of of IN cord-018142-xt71w4nr 23 17 capillaries capillary NNS cord-018142-xt71w4nr 23 18 of of IN cord-018142-xt71w4nr 23 19 the the DT cord-018142-xt71w4nr 23 20 microcirculation microcirculation NN cord-018142-xt71w4nr 23 21 , , , cord-018142-xt71w4nr 23 22 leading lead VBG cord-018142-xt71w4nr 23 23 to to IN cord-018142-xt71w4nr 23 24 tissue tissue NN cord-018142-xt71w4nr 23 25 ischemia ischemia NN cord-018142-xt71w4nr 23 26 and and CC cord-018142-xt71w4nr 23 27 erythrocyte erythrocyte NN cord-018142-xt71w4nr 23 28 fragmentation fragmentation NN cord-018142-xt71w4nr 23 29 on on IN cord-018142-xt71w4nr 23 30 thrombi thrombi NNP cord-018142-xt71w4nr 23 31 ( ( -LRB- cord-018142-xt71w4nr 23 32 schistocytes schistocytes NNP cord-018142-xt71w4nr 23 33 ) ) -RRB- cord-018142-xt71w4nr 23 34 [ [ -LRB- cord-018142-xt71w4nr 23 35 2 2 CD cord-018142-xt71w4nr 23 36 ] ] -RRB- cord-018142-xt71w4nr 23 37 . . . cord-018142-xt71w4nr 24 1 Deficiency deficiency NN cord-018142-xt71w4nr 24 2 of of IN cord-018142-xt71w4nr 24 3 the the DT cord-018142-xt71w4nr 24 4 protease protease NN cord-018142-xt71w4nr 24 5 cleaving cleave VBG cord-018142-xt71w4nr 24 6 ULvWF ULvWF NNP cord-018142-xt71w4nr 24 7 in in IN cord-018142-xt71w4nr 24 8 TTP TTP NNP cord-018142-xt71w4nr 24 9 is be VBZ cord-018142-xt71w4nr 24 10 attributed attribute VBN cord-018142-xt71w4nr 24 11 either either CC cord-018142-xt71w4nr 24 12 to to IN cord-018142-xt71w4nr 24 13 acquisition acquisition NN cord-018142-xt71w4nr 24 14 of of IN cord-018142-xt71w4nr 24 15 an an DT cord-018142-xt71w4nr 24 16 IgG IgG NNP cord-018142-xt71w4nr 24 17 inhibitory inhibitory JJ cord-018142-xt71w4nr 24 18 auto auto NN cord-018142-xt71w4nr 24 19 - - HYPH cord-018142-xt71w4nr 24 20 antibody antibody NN cord-018142-xt71w4nr 24 21 or or CC cord-018142-xt71w4nr 24 22 to to IN cord-018142-xt71w4nr 24 23 a a DT cord-018142-xt71w4nr 24 24 mutation mutation NN cord-018142-xt71w4nr 24 25 of of IN cord-018142-xt71w4nr 24 26 the the DT cord-018142-xt71w4nr 24 27 gene gene NN cord-018142-xt71w4nr 24 28 coding code VBG cord-018142-xt71w4nr 24 29 for for IN cord-018142-xt71w4nr 24 30 the the DT cord-018142-xt71w4nr 24 31 protease protease NN cord-018142-xt71w4nr 24 32 ( ( -LRB- cord-018142-xt71w4nr 24 33 familial familial JJ cord-018142-xt71w4nr 24 34 cases case NNS cord-018142-xt71w4nr 24 35 ) ) -RRB- cord-018142-xt71w4nr 25 1 [ [ -LRB- cord-018142-xt71w4nr 25 2 6±10 6±10 NN cord-018142-xt71w4nr 25 3 ] ] -RRB- cord-018142-xt71w4nr 25 4 . . . cord-018142-xt71w4nr 26 1 Role role NN cord-018142-xt71w4nr 26 2 of of IN cord-018142-xt71w4nr 26 3 infections infection NNS cord-018142-xt71w4nr 26 4 in in IN cord-018142-xt71w4nr 26 5 the the DT cord-018142-xt71w4nr 26 6 pathogenesis pathogenesis NN cord-018142-xt71w4nr 26 7 of of IN cord-018142-xt71w4nr 26 8 TTP TTP NNP cord-018142-xt71w4nr 26 9 . . . cord-018142-xt71w4nr 27 1 TMA TMA NNP cord-018142-xt71w4nr 27 2 is be VBZ cord-018142-xt71w4nr 27 3 frequently frequently RB cord-018142-xt71w4nr 27 4 associated associate VBN cord-018142-xt71w4nr 27 5 with with IN cord-018142-xt71w4nr 27 6 infection infection NN cord-018142-xt71w4nr 27 7 , , , cord-018142-xt71w4nr 27 8 whether whether IN cord-018142-xt71w4nr 27 9 or or CC cord-018142-xt71w4nr 27 10 not not RB cord-018142-xt71w4nr 27 11 there there EX cord-018142-xt71w4nr 27 12 is be VBZ cord-018142-xt71w4nr 27 13 another another DT cord-018142-xt71w4nr 27 14 underlying underlie VBG cord-018142-xt71w4nr 27 15 disease disease NN cord-018142-xt71w4nr 27 16 [ [ -LRB- cord-018142-xt71w4nr 27 17 11 11 CD cord-018142-xt71w4nr 27 18 ] ] -RRB- cord-018142-xt71w4nr 27 19 . . . cord-018142-xt71w4nr 28 1 In in IN cord-018142-xt71w4nr 28 2 a a DT cord-018142-xt71w4nr 28 3 retrospective retrospective JJ cord-018142-xt71w4nr 28 4 intensive intensive JJ cord-018142-xt71w4nr 28 5 care care NN cord-018142-xt71w4nr 28 6 study study NN cord-018142-xt71w4nr 28 7 , , , cord-018142-xt71w4nr 28 8 53 53 CD cord-018142-xt71w4nr 28 9 % % NN cord-018142-xt71w4nr 28 10 of of IN cord-018142-xt71w4nr 28 11 cases case NNS cord-018142-xt71w4nr 28 12 of of IN cord-018142-xt71w4nr 28 13 TMA TMA NNP cord-018142-xt71w4nr 28 14 were be VBD cord-018142-xt71w4nr 28 15 associated associate VBN cord-018142-xt71w4nr 28 16 with with IN cord-018142-xt71w4nr 28 17 infection infection NN cord-018142-xt71w4nr 28 18 [ [ -LRB- cord-018142-xt71w4nr 28 19 1 1 CD cord-018142-xt71w4nr 28 20 ] ] -RRB- cord-018142-xt71w4nr 28 21 . . . cord-018142-xt71w4nr 29 1 These these DT cord-018142-xt71w4nr 29 2 infections infection NNS cord-018142-xt71w4nr 29 3 have have VBP cord-018142-xt71w4nr 29 4 a a DT cord-018142-xt71w4nr 29 5 major major JJ cord-018142-xt71w4nr 29 6 impact impact NN cord-018142-xt71w4nr 29 7 on on IN cord-018142-xt71w4nr 29 8 the the DT cord-018142-xt71w4nr 29 9 patient patient NN cord-018142-xt71w4nr 29 10 's 's POS cord-018142-xt71w4nr 29 11 outcome outcome NN cord-018142-xt71w4nr 29 12 [ [ -LRB- cord-018142-xt71w4nr 29 13 11 11 CD cord-018142-xt71w4nr 29 14 ] ] -RRB- cord-018142-xt71w4nr 29 15 . . . cord-018142-xt71w4nr 30 1 Various various JJ cord-018142-xt71w4nr 30 2 microorganisms microorganism NNS cord-018142-xt71w4nr 30 3 have have VBP cord-018142-xt71w4nr 30 4 been be VBN cord-018142-xt71w4nr 30 5 isolated isolate VBN cord-018142-xt71w4nr 30 6 during during IN cord-018142-xt71w4nr 30 7 the the DT cord-018142-xt71w4nr 30 8 acute acute JJ cord-018142-xt71w4nr 30 9 phase phase NN cord-018142-xt71w4nr 30 10 of of IN cord-018142-xt71w4nr 30 11 TTP TTP NNP cord-018142-xt71w4nr 30 12 , , , cord-018142-xt71w4nr 30 13 or or CC cord-018142-xt71w4nr 30 14 during during IN cord-018142-xt71w4nr 30 15 the the DT cord-018142-xt71w4nr 30 16 days day NNS cord-018142-xt71w4nr 30 17 preceding precede VBG cord-018142-xt71w4nr 30 18 TTP TTP NNP cord-018142-xt71w4nr 30 19 ( ( -LRB- cord-018142-xt71w4nr 30 20 Table table NN cord-018142-xt71w4nr 30 21 1 1 CD cord-018142-xt71w4nr 30 22 [ [ -LRB- cord-018142-xt71w4nr 30 23 12±20 12±20 NNP cord-018142-xt71w4nr 30 24 ] ] -RRB- cord-018142-xt71w4nr 30 25 ) ) -RRB- cord-018142-xt71w4nr 30 26 . . . cord-018142-xt71w4nr 31 1 An an DT cord-018142-xt71w4nr 31 2 underlying underlie VBG cord-018142-xt71w4nr 31 3 infection infection NN cord-018142-xt71w4nr 31 4 must must MD cord-018142-xt71w4nr 31 5 be be VB cord-018142-xt71w4nr 31 6 systematically systematically RB cord-018142-xt71w4nr 31 7 sought seek VBN cord-018142-xt71w4nr 31 8 in in IN cord-018142-xt71w4nr 31 9 all all DT cord-018142-xt71w4nr 31 10 cases case NNS cord-018142-xt71w4nr 31 11 of of IN cord-018142-xt71w4nr 31 12 TMA TMA NNP cord-018142-xt71w4nr 31 13 . . . cord-018142-xt71w4nr 32 1 The the DT cord-018142-xt71w4nr 32 2 infectious infectious JJ cord-018142-xt71w4nr 32 3 agent agent NN cord-018142-xt71w4nr 32 4 involved involve VBN cord-018142-xt71w4nr 32 5 in in IN cord-018142-xt71w4nr 32 6 the the DT cord-018142-xt71w4nr 32 7 pathogenesis pathogenesis NN cord-018142-xt71w4nr 32 8 of of IN cord-018142-xt71w4nr 32 9 TTP TTP NNP cord-018142-xt71w4nr 32 10 induces induce VBZ cord-018142-xt71w4nr 32 11 a a DT cord-018142-xt71w4nr 32 12 direct direct JJ cord-018142-xt71w4nr 32 13 or or CC cord-018142-xt71w4nr 32 14 indirect indirect JJ cord-018142-xt71w4nr 32 15 endothelial endothelial JJ cord-018142-xt71w4nr 32 16 lesion lesion NN cord-018142-xt71w4nr 32 17 ( ( -LRB- cord-018142-xt71w4nr 32 18 mediated mediate VBN cord-018142-xt71w4nr 32 19 by by IN cord-018142-xt71w4nr 32 20 sepsis sepsis NN cord-018142-xt71w4nr 32 21 ) ) -RRB- cord-018142-xt71w4nr 32 22 , , , cord-018142-xt71w4nr 32 23 as as IN cord-018142-xt71w4nr 32 24 various various JJ cord-018142-xt71w4nr 32 25 mediators mediator NNS cord-018142-xt71w4nr 32 26 ( ( -LRB- cord-018142-xt71w4nr 32 27 interleukin interleukin XX cord-018142-xt71w4nr 32 28 [ [ -LRB- cord-018142-xt71w4nr 32 29 IL]-1 IL]-1 NNP cord-018142-xt71w4nr 32 30 and and CC cord-018142-xt71w4nr 32 31 IL-6 IL-6 NNP cord-018142-xt71w4nr 32 32 , , , cord-018142-xt71w4nr 32 33 interferon interferon NN cord-018142-xt71w4nr 32 34 gamma gamma NN cord-018142-xt71w4nr 32 35 [ [ -LRB- cord-018142-xt71w4nr 32 36 IFN IFN NNP cord-018142-xt71w4nr 32 37 - - HYPH cord-018142-xt71w4nr 32 38 c c NNP cord-018142-xt71w4nr 32 39 , , , cord-018142-xt71w4nr 32 40 tumor tumor NN cord-018142-xt71w4nr 32 41 necrosis necrosis NN cord-018142-xt71w4nr 32 42 factor factor NN cord-018142-xt71w4nr 32 43 [ [ -LRB- cord-018142-xt71w4nr 32 44 TNF]-a tnf]-a CD cord-018142-xt71w4nr 32 45 ) ) -RRB- cord-018142-xt71w4nr 32 46 are be VBP cord-018142-xt71w4nr 32 47 released release VBN cord-018142-xt71w4nr 32 48 during during IN cord-018142-xt71w4nr 32 49 the the DT cord-018142-xt71w4nr 32 50 inflammatory inflammatory JJ cord-018142-xt71w4nr 32 51 reaction reaction NN cord-018142-xt71w4nr 32 52 of of IN cord-018142-xt71w4nr 32 53 sepsis sepsis NN cord-018142-xt71w4nr 32 54 and and CC cord-018142-xt71w4nr 32 55 generate generate VBP cord-018142-xt71w4nr 32 56 endothelial endothelial JJ cord-018142-xt71w4nr 32 57 lesions lesion NNS cord-018142-xt71w4nr 32 58 . . . cord-018142-xt71w4nr 33 1 S. S. NNP cord-018142-xt71w4nr 33 2 Samy Samy NNP cord-018142-xt71w4nr 33 3 Modeliar Modeliar NNP cord-018142-xt71w4nr 33 4 et et NNP cord-018142-xt71w4nr 33 5 al al NNP cord-018142-xt71w4nr 33 6 . . . cord-018142-xt71w4nr 34 1 Damaged damage VBN cord-018142-xt71w4nr 34 2 endothelial endothelial JJ cord-018142-xt71w4nr 34 3 cells cell NNS cord-018142-xt71w4nr 34 4 degranulate degranulate NNP cord-018142-xt71w4nr 34 5 , , , cord-018142-xt71w4nr 34 6 releasing release VBG cord-018142-xt71w4nr 34 7 procoagulant procoagulant JJ cord-018142-xt71w4nr 34 8 substances substance NNS cord-018142-xt71w4nr 34 9 ( ( -LRB- cord-018142-xt71w4nr 34 10 ULvWF ULvWF NNP cord-018142-xt71w4nr 34 11 , , , cord-018142-xt71w4nr 34 12 platelet platelet NN cord-018142-xt71w4nr 34 13 - - HYPH cord-018142-xt71w4nr 34 14 activating activate VBG cord-018142-xt71w4nr 34 15 factor factor NN cord-018142-xt71w4nr 34 16 [ [ -LRB- cord-018142-xt71w4nr 34 17 PAF PAF NNP cord-018142-xt71w4nr 34 18 ] ] -RRB- cord-018142-xt71w4nr 34 19 ) ) -RRB- cord-018142-xt71w4nr 34 20 into into IN cord-018142-xt71w4nr 34 21 the the DT cord-018142-xt71w4nr 34 22 plasma plasma NN cord-018142-xt71w4nr 34 23 , , , cord-018142-xt71w4nr 34 24 express express JJ cord-018142-xt71w4nr 34 25 adhesion adhesion NN cord-018142-xt71w4nr 34 26 molecules molecule NNS cord-018142-xt71w4nr 34 27 and and CC cord-018142-xt71w4nr 34 28 produce produce VBP cord-018142-xt71w4nr 34 29 chemokines chemokine NNS cord-018142-xt71w4nr 34 30 such such JJ cord-018142-xt71w4nr 34 31 as as IN cord-018142-xt71w4nr 34 32 IL-8 IL-8 NNP cord-018142-xt71w4nr 34 33 . . . cord-018142-xt71w4nr 35 1 These these DT cord-018142-xt71w4nr 35 2 phenomena phenomenon NNS cord-018142-xt71w4nr 35 3 promote promote VBP cord-018142-xt71w4nr 35 4 adhesion adhesion NN cord-018142-xt71w4nr 35 5 and and CC cord-018142-xt71w4nr 35 6 activation activation NN cord-018142-xt71w4nr 35 7 of of IN cord-018142-xt71w4nr 35 8 neutrophils neutrophil NNS cord-018142-xt71w4nr 35 9 , , , cord-018142-xt71w4nr 35 10 which which WDT cord-018142-xt71w4nr 35 11 participate participate VBP cord-018142-xt71w4nr 35 12 in in IN cord-018142-xt71w4nr 35 13 endothelial endothelial JJ cord-018142-xt71w4nr 35 14 lesions lesion NNS cord-018142-xt71w4nr 35 15 . . . cord-018142-xt71w4nr 36 1 Activated activate VBN cord-018142-xt71w4nr 36 2 endothelial endothelial JJ cord-018142-xt71w4nr 36 3 cells cell NNS cord-018142-xt71w4nr 36 4 also also RB cord-018142-xt71w4nr 36 5 show show VBP cord-018142-xt71w4nr 36 6 decreased decreased JJ cord-018142-xt71w4nr 36 7 synthesis synthesis NN cord-018142-xt71w4nr 36 8 of of IN cord-018142-xt71w4nr 36 9 prostaglandin prostaglandin NN cord-018142-xt71w4nr 36 10 I2 i2 NN cord-018142-xt71w4nr 36 11 ( ( -LRB- cord-018142-xt71w4nr 36 12 PGI2 PGI2 NNP cord-018142-xt71w4nr 36 13 ) ) -RRB- cord-018142-xt71w4nr 36 14 , , , cord-018142-xt71w4nr 36 15 the the DT cord-018142-xt71w4nr 36 16 most most RBS cord-018142-xt71w4nr 36 17 potent potent JJ cord-018142-xt71w4nr 36 18 platelet platelet NN cord-018142-xt71w4nr 36 19 aggregation aggregation NN cord-018142-xt71w4nr 36 20 inhibitor inhibitor NN cord-018142-xt71w4nr 36 21 in in IN cord-018142-xt71w4nr 36 22 the the DT cord-018142-xt71w4nr 36 23 body body NN cord-018142-xt71w4nr 36 24 . . . cord-018142-xt71w4nr 37 1 These these DT cord-018142-xt71w4nr 37 2 mechanisms mechanism NNS cord-018142-xt71w4nr 37 3 lead lead VBP cord-018142-xt71w4nr 37 4 to to IN cord-018142-xt71w4nr 37 5 a a DT cord-018142-xt71w4nr 37 6 hypercoagulability hypercoagulability NN cord-018142-xt71w4nr 37 7 state state NN cord-018142-xt71w4nr 37 8 , , , cord-018142-xt71w4nr 37 9 which which WDT cord-018142-xt71w4nr 37 10 persists persist VBZ cord-018142-xt71w4nr 37 11 in in IN cord-018142-xt71w4nr 37 12 individuals individual NNS cord-018142-xt71w4nr 37 13 presenting present VBG cord-018142-xt71w4nr 37 14 predisposing predisposing JJ cord-018142-xt71w4nr 37 15 factors factor NNS cord-018142-xt71w4nr 37 16 . . . cord-018142-xt71w4nr 38 1 The the DT cord-018142-xt71w4nr 38 2 pathophysiology pathophysiology NN cord-018142-xt71w4nr 38 3 of of IN cord-018142-xt71w4nr 38 4 HUS HUS NNP cord-018142-xt71w4nr 38 5 is be VBZ cord-018142-xt71w4nr 38 6 characterized characterize VBN cord-018142-xt71w4nr 38 7 by by IN cord-018142-xt71w4nr 38 8 intravascular intravascular JJ cord-018142-xt71w4nr 38 9 coagulation coagulation NN cord-018142-xt71w4nr 38 10 specifically specifically RB cord-018142-xt71w4nr 38 11 involving involve VBG cord-018142-xt71w4nr 38 12 the the DT cord-018142-xt71w4nr 38 13 renal renal JJ cord-018142-xt71w4nr 38 14 microcirculation microcirculation NN cord-018142-xt71w4nr 38 15 . . . cord-018142-xt71w4nr 39 1 Two two CD cord-018142-xt71w4nr 39 2 very very RB cord-018142-xt71w4nr 39 3 different different JJ cord-018142-xt71w4nr 39 4 forms form NNS cord-018142-xt71w4nr 39 5 are be VBP cord-018142-xt71w4nr 39 6 distinguished distinguish VBN cord-018142-xt71w4nr 39 7 : : : cord-018142-xt71w4nr 39 8 z z LS cord-018142-xt71w4nr 39 9 post post JJ cord-018142-xt71w4nr 39 10 - - JJ cord-018142-xt71w4nr 39 11 diarrheal diarrheal JJ cord-018142-xt71w4nr 39 12 HUS hus NN cord-018142-xt71w4nr 39 13 , , , cord-018142-xt71w4nr 39 14 usually usually RB cord-018142-xt71w4nr 39 15 endemic endemic JJ cord-018142-xt71w4nr 39 16 and and CC cord-018142-xt71w4nr 39 17 mainly mainly RB cord-018142-xt71w4nr 39 18 affecting affect VBG cord-018142-xt71w4nr 39 19 young young JJ cord-018142-xt71w4nr 39 20 children child NNS cord-018142-xt71w4nr 39 21 ( ( -LRB- cord-018142-xt71w4nr 39 22 1±5 1±5 CD cord-018142-xt71w4nr 39 23 years year NNS cord-018142-xt71w4nr 39 24 ) ) -RRB- cord-018142-xt71w4nr 39 25 , , , cord-018142-xt71w4nr 39 26 z z LS cord-018142-xt71w4nr 39 27 HUS HUS NNP cord-018142-xt71w4nr 39 28 occurring occur VBG cord-018142-xt71w4nr 39 29 in in IN cord-018142-xt71w4nr 39 30 the the DT cord-018142-xt71w4nr 39 31 absence absence NN cord-018142-xt71w4nr 39 32 of of IN cord-018142-xt71w4nr 39 33 diarrhea diarrhea NN cord-018142-xt71w4nr 39 34 or or CC cord-018142-xt71w4nr 39 35 atypical atypical JJ cord-018142-xt71w4nr 39 36 HUS HUS NNP cord-018142-xt71w4nr 39 37 , , , cord-018142-xt71w4nr 39 38 observed observe VBD cord-018142-xt71w4nr 39 39 in in IN cord-018142-xt71w4nr 39 40 older old JJR cord-018142-xt71w4nr 39 41 children child NNS cord-018142-xt71w4nr 39 42 and and CC cord-018142-xt71w4nr 39 43 adults adult NNS cord-018142-xt71w4nr 39 44 . . . cord-018142-xt71w4nr 40 1 Post post JJ cord-018142-xt71w4nr 40 2 - - JJ cord-018142-xt71w4nr 40 3 diarrheal diarrheal JJ cord-018142-xt71w4nr 40 4 HUS HUS NNP cord-018142-xt71w4nr 40 5 [ [ -LRB- cord-018142-xt71w4nr 40 6 21 21 CD cord-018142-xt71w4nr 40 7 ] ] -RRB- cord-018142-xt71w4nr 40 8 . . . cord-018142-xt71w4nr 41 1 This this DT cord-018142-xt71w4nr 41 2 is be VBZ cord-018142-xt71w4nr 41 3 the the DT cord-018142-xt71w4nr 41 4 most most RBS cord-018142-xt71w4nr 41 5 frequent frequent JJ cord-018142-xt71w4nr 41 6 form form NN cord-018142-xt71w4nr 41 7 of of IN cord-018142-xt71w4nr 41 8 HUS HUS NNP cord-018142-xt71w4nr 41 9 ( ( -LRB- cord-018142-xt71w4nr 41 10 90 90 CD cord-018142-xt71w4nr 41 11 % % NN cord-018142-xt71w4nr 41 12 of of IN cord-018142-xt71w4nr 41 13 cases case NNS cord-018142-xt71w4nr 41 14 ) ) -RRB- cord-018142-xt71w4nr 41 15 . . . cord-018142-xt71w4nr 42 1 The the DT cord-018142-xt71w4nr 42 2 majority majority NN cord-018142-xt71w4nr 42 3 of of IN cord-018142-xt71w4nr 42 4 cases case NNS cord-018142-xt71w4nr 42 5 are be VBP cord-018142-xt71w4nr 42 6 due due JJ cord-018142-xt71w4nr 42 7 to to IN cord-018142-xt71w4nr 42 8 toxin toxin NN cord-018142-xt71w4nr 42 9 - - HYPH cord-018142-xt71w4nr 42 10 producing produce VBG cord-018142-xt71w4nr 42 11 Escherichia escherichia NN cord-018142-xt71w4nr 42 12 coli coli NNS cord-018142-xt71w4nr 42 13 gastrointestinal gastrointestinal JJ cord-018142-xt71w4nr 42 14 infection infection NN cord-018142-xt71w4nr 42 15 . . . cord-018142-xt71w4nr 43 1 The the DT cord-018142-xt71w4nr 43 2 serotype serotype NN cord-018142-xt71w4nr 43 3 most most RBS cord-018142-xt71w4nr 43 4 frequently frequently RB cord-018142-xt71w4nr 43 5 isolated isolate VBN cord-018142-xt71w4nr 43 6 is be VBZ cord-018142-xt71w4nr 43 7 E. E. NNP cord-018142-xt71w4nr 43 8 coli coli VBZ cord-018142-xt71w4nr 43 9 0157 0157 CD cord-018142-xt71w4nr 43 10 : : : cord-018142-xt71w4nr 44 1 H7 H7 NNP cord-018142-xt71w4nr 44 2 , , , cord-018142-xt71w4nr 44 3 but but CC cord-018142-xt71w4nr 44 4 many many JJ cord-018142-xt71w4nr 44 5 other other JJ cord-018142-xt71w4nr 44 6 serotypes serotype NNS cord-018142-xt71w4nr 44 7 as as RB cord-018142-xt71w4nr 44 8 well well RB cord-018142-xt71w4nr 44 9 as as IN cord-018142-xt71w4nr 44 10 many many JJ cord-018142-xt71w4nr 44 11 other other JJ cord-018142-xt71w4nr 44 12 bacteria bacteria NNS cord-018142-xt71w4nr 44 13 have have VBP cord-018142-xt71w4nr 44 14 been be VBN cord-018142-xt71w4nr 44 15 incriminated incriminate VBN cord-018142-xt71w4nr 44 16 ( ( -LRB- cord-018142-xt71w4nr 44 17 Table table NN cord-018142-xt71w4nr 44 18 2 2 CD cord-018142-xt71w4nr 44 19 ) ) -RRB- cord-018142-xt71w4nr 44 20 . . . cord-018142-xt71w4nr 45 1 The the DT cord-018142-xt71w4nr 45 2 E. E. NNP cord-018142-xt71w4nr 45 3 coli coli NNS cord-018142-xt71w4nr 45 4 toxin toxin NN cord-018142-xt71w4nr 45 5 is be VBZ cord-018142-xt71w4nr 45 6 called call VBN cord-018142-xt71w4nr 45 7 Shiga Shiga NNP cord-018142-xt71w4nr 45 8 - - HYPH cord-018142-xt71w4nr 45 9 like like JJ cord-018142-xt71w4nr 45 10 - - HYPH cord-018142-xt71w4nr 45 11 toxin toxin NN cord-018142-xt71w4nr 45 12 ( ( -LRB- cord-018142-xt71w4nr 45 13 SLT SLT NNP cord-018142-xt71w4nr 45 14 ) ) -RRB- cord-018142-xt71w4nr 45 15 due due IN cord-018142-xt71w4nr 45 16 to to IN cord-018142-xt71w4nr 45 17 its -PRON- PRP$ cord-018142-xt71w4nr 45 18 structural structural JJ cord-018142-xt71w4nr 45 19 analogy analogy NN cord-018142-xt71w4nr 45 20 with with IN cord-018142-xt71w4nr 45 21 Shigella Shigella NNP cord-018142-xt71w4nr 45 22 dysenteriae dysenteriae NN cord-018142-xt71w4nr 45 23 toxin toxin NN cord-018142-xt71w4nr 45 24 type type NN cord-018142-xt71w4nr 45 25 1 1 CD cord-018142-xt71w4nr 45 26 . . . cord-018142-xt71w4nr 46 1 The the DT cord-018142-xt71w4nr 46 2 pathophysiology pathophysiology NN cord-018142-xt71w4nr 46 3 of of IN cord-018142-xt71w4nr 46 4 post post JJ cord-018142-xt71w4nr 46 5 - - JJ cord-018142-xt71w4nr 46 6 diarrheal diarrheal JJ cord-018142-xt71w4nr 46 7 HUS hus NN cord-018142-xt71w4nr 46 8 starts start VBZ cord-018142-xt71w4nr 46 9 with with IN cord-018142-xt71w4nr 46 10 ingestion ingestion NN cord-018142-xt71w4nr 46 11 of of IN cord-018142-xt71w4nr 46 12 food food NN cord-018142-xt71w4nr 46 13 usually usually RB cord-018142-xt71w4nr 46 14 contaminated contaminate VBN cord-018142-xt71w4nr 46 15 by by IN cord-018142-xt71w4nr 46 16 a a DT cord-018142-xt71w4nr 46 17 strain strain NN cord-018142-xt71w4nr 46 18 of of IN cord-018142-xt71w4nr 46 19 toxin toxin NN cord-018142-xt71w4nr 46 20 - - HYPH cord-018142-xt71w4nr 46 21 producing produce VBG cord-018142-xt71w4nr 46 22 E. E. NNP cord-018142-xt71w4nr 46 23 coli coli NNS cord-018142-xt71w4nr 46 24 . . . cord-018142-xt71w4nr 47 1 Intestinal intestinal JJ cord-018142-xt71w4nr 47 2 colonization colonization NN cord-018142-xt71w4nr 47 3 by by IN cord-018142-xt71w4nr 47 4 E. E. NNP cord-018142-xt71w4nr 47 5 coli coli NNS cord-018142-xt71w4nr 47 6 is be VBZ cord-018142-xt71w4nr 47 7 responsible responsible JJ cord-018142-xt71w4nr 47 8 for for IN cord-018142-xt71w4nr 47 9 liquid liquid JJ cord-018142-xt71w4nr 47 10 diarrhea diarrhea NN cord-018142-xt71w4nr 47 11 . . . cord-018142-xt71w4nr 48 1 This this DT cord-018142-xt71w4nr 48 2 colonization colonization NN cord-018142-xt71w4nr 48 3 phase phase NN cord-018142-xt71w4nr 48 4 is be VBZ cord-018142-xt71w4nr 48 5 accompanied accompany VBN cord-018142-xt71w4nr 48 6 by by IN cord-018142-xt71w4nr 48 7 massive massive JJ cord-018142-xt71w4nr 48 8 toxin toxin NN cord-018142-xt71w4nr 48 9 production production NN cord-018142-xt71w4nr 48 10 . . . cord-018142-xt71w4nr 49 1 This this DT cord-018142-xt71w4nr 49 2 toxin toxin NN cord-018142-xt71w4nr 49 3 is be VBZ cord-018142-xt71w4nr 49 4 released release VBN cord-018142-xt71w4nr 49 5 into into IN cord-018142-xt71w4nr 49 6 the the DT cord-018142-xt71w4nr 49 7 intestine intestine NN cord-018142-xt71w4nr 49 8 and and CC cord-018142-xt71w4nr 49 9 is be VBZ cord-018142-xt71w4nr 49 10 responsi responsi NN cord-018142-xt71w4nr 49 11 - - HYPH cord-018142-xt71w4nr 49 12 ble ble JJ cord-018142-xt71w4nr 49 13 for for IN cord-018142-xt71w4nr 49 14 direct direct JJ cord-018142-xt71w4nr 49 15 microvascular microvascular JJ cord-018142-xt71w4nr 49 16 and and CC cord-018142-xt71w4nr 49 17 mucosal mucosal JJ cord-018142-xt71w4nr 49 18 lesions lesion NNS cord-018142-xt71w4nr 49 19 , , , cord-018142-xt71w4nr 49 20 causing cause VBG cord-018142-xt71w4nr 49 21 another another DT cord-018142-xt71w4nr 49 22 episode episode NN cord-018142-xt71w4nr 49 23 of of IN cord-018142-xt71w4nr 49 24 potentially potentially RB cord-018142-xt71w4nr 49 25 hemorrhagic hemorrhagic JJ cord-018142-xt71w4nr 49 26 diarrhea diarrhea NN cord-018142-xt71w4nr 49 27 . . . cord-018142-xt71w4nr 50 1 The the DT cord-018142-xt71w4nr 50 2 toxin toxin NN cord-018142-xt71w4nr 50 3 binds bind VBZ cord-018142-xt71w4nr 50 4 to to IN cord-018142-xt71w4nr 50 5 specific specific JJ cord-018142-xt71w4nr 50 6 receptors receptor NNS cord-018142-xt71w4nr 50 7 , , , cord-018142-xt71w4nr 50 8 is be VBZ cord-018142-xt71w4nr 50 9 internalized internalize VBN cord-018142-xt71w4nr 50 10 and and CC cord-018142-xt71w4nr 50 11 then then RB cord-018142-xt71w4nr 50 12 enters enter VBZ cord-018142-xt71w4nr 50 13 the the DT cord-018142-xt71w4nr 50 14 systemic systemic JJ cord-018142-xt71w4nr 50 15 circulation circulation NN cord-018142-xt71w4nr 50 16 . . . cord-018142-xt71w4nr 51 1 E. E. NNP cord-018142-xt71w4nr 51 2 coli coli VBZ cord-018142-xt71w4nr 51 3 bacteremia bacteremia NN cord-018142-xt71w4nr 51 4 is be VBZ cord-018142-xt71w4nr 51 5 not not RB cord-018142-xt71w4nr 51 6 usually usually RB cord-018142-xt71w4nr 51 7 observed observe VBN cord-018142-xt71w4nr 51 8 in in IN cord-018142-xt71w4nr 51 9 post post JJ cord-018142-xt71w4nr 51 10 - - JJ cord-018142-xt71w4nr 51 11 diarrheal diarrheal JJ cord-018142-xt71w4nr 51 12 HUS hus NN cord-018142-xt71w4nr 51 13 . . . cord-018142-xt71w4nr 52 1 The the DT cord-018142-xt71w4nr 52 2 toxin toxin NN cord-018142-xt71w4nr 52 3 is be VBZ cord-018142-xt71w4nr 52 4 transported transport VBN cord-018142-xt71w4nr 52 5 by by IN cord-018142-xt71w4nr 52 6 neutrophils neutrophil NNS cord-018142-xt71w4nr 52 7 to to TO cord-018142-xt71w4nr 52 8 target target VB cord-018142-xt71w4nr 52 9 tissues tissue NNS cord-018142-xt71w4nr 52 10 , , , cord-018142-xt71w4nr 52 11 i.e. i.e. FW cord-018142-xt71w4nr 52 12 , , , cord-018142-xt71w4nr 52 13 the the DT cord-018142-xt71w4nr 52 14 kidney kidney NN cord-018142-xt71w4nr 52 15 , , , cord-018142-xt71w4nr 52 16 where where WRB cord-018142-xt71w4nr 52 17 it -PRON- PRP cord-018142-xt71w4nr 52 18 binds bind VBZ cord-018142-xt71w4nr 52 19 to to IN cord-018142-xt71w4nr 52 20 specific specific JJ cord-018142-xt71w4nr 52 21 receptors receptor NNS cord-018142-xt71w4nr 52 22 situated situate VBN cord-018142-xt71w4nr 52 23 on on IN cord-018142-xt71w4nr 52 24 endothelial endothelial JJ cord-018142-xt71w4nr 52 25 cells cell NNS cord-018142-xt71w4nr 52 26 of of IN cord-018142-xt71w4nr 52 27 the the DT cord-018142-xt71w4nr 52 28 renal renal JJ cord-018142-xt71w4nr 52 29 cortex cortex NN cord-018142-xt71w4nr 52 30 and and CC cord-018142-xt71w4nr 52 31 medulla medulla NN cord-018142-xt71w4nr 52 32 and and CC cord-018142-xt71w4nr 52 33 tubular tubular JJ cord-018142-xt71w4nr 52 34 epithelial epithelial JJ cord-018142-xt71w4nr 52 35 cells cell NNS cord-018142-xt71w4nr 52 36 . . . cord-018142-xt71w4nr 53 1 It -PRON- PRP cord-018142-xt71w4nr 53 2 is be VBZ cord-018142-xt71w4nr 53 3 internalized internalize VBN cord-018142-xt71w4nr 53 4 in in IN cord-018142-xt71w4nr 53 5 renal renal JJ cord-018142-xt71w4nr 53 6 cells cell NNS cord-018142-xt71w4nr 53 7 and and CC cord-018142-xt71w4nr 53 8 induces induce VBZ cord-018142-xt71w4nr 53 9 inhibition inhibition NN cord-018142-xt71w4nr 53 10 of of IN cord-018142-xt71w4nr 53 11 protein protein NN cord-018142-xt71w4nr 53 12 synthesis synthesis NN cord-018142-xt71w4nr 53 13 via via IN cord-018142-xt71w4nr 53 14 ribosomal ribosomal JJ cord-018142-xt71w4nr 53 15 inactivation inactivation NN cord-018142-xt71w4nr 53 16 ( ( -LRB- cord-018142-xt71w4nr 53 17 depurinization depurinization NN cord-018142-xt71w4nr 53 18 ) ) -RRB- cord-018142-xt71w4nr 53 19 , , , cord-018142-xt71w4nr 53 20 leading lead VBG cord-018142-xt71w4nr 53 21 to to IN cord-018142-xt71w4nr 53 22 apoptotic apoptotic JJ cord-018142-xt71w4nr 53 23 cell cell NN cord-018142-xt71w4nr 53 24 death death NN cord-018142-xt71w4nr 53 25 . . . cord-018142-xt71w4nr 54 1 In in IN cord-018142-xt71w4nr 54 2 addition addition NN cord-018142-xt71w4nr 54 3 to to IN cord-018142-xt71w4nr 54 4 these these DT cord-018142-xt71w4nr 54 5 lesions lesion NNS cord-018142-xt71w4nr 54 6 , , , cord-018142-xt71w4nr 54 7 the the DT cord-018142-xt71w4nr 54 8 toxin toxin NN cord-018142-xt71w4nr 54 9 also also RB cord-018142-xt71w4nr 54 10 stimulates stimulate VBZ cord-018142-xt71w4nr 54 11 cytokine cytokine NN cord-018142-xt71w4nr 54 12 production production NN cord-018142-xt71w4nr 54 13 . . . cord-018142-xt71w4nr 55 1 Endothelial endothelial JJ cord-018142-xt71w4nr 55 2 cell cell NN cord-018142-xt71w4nr 55 3 damage damage NN cord-018142-xt71w4nr 55 4 has have VBZ cord-018142-xt71w4nr 55 5 several several JJ cord-018142-xt71w4nr 55 6 consequences consequence NNS cord-018142-xt71w4nr 55 7 : : : cord-018142-xt71w4nr 55 8 expression expression NN cord-018142-xt71w4nr 55 9 of of IN cord-018142-xt71w4nr 55 10 tissue tissue NN cord-018142-xt71w4nr 55 11 factor factor NN cord-018142-xt71w4nr 55 12 on on IN cord-018142-xt71w4nr 55 13 the the DT cord-018142-xt71w4nr 55 14 cell cell NN cord-018142-xt71w4nr 55 15 surface surface NN cord-018142-xt71w4nr 55 16 , , , cord-018142-xt71w4nr 55 17 activation activation NN cord-018142-xt71w4nr 55 18 of of IN cord-018142-xt71w4nr 55 19 coagulation coagulation NN cord-018142-xt71w4nr 55 20 , , , cord-018142-xt71w4nr 55 21 release release NN cord-018142-xt71w4nr 55 22 of of IN cord-018142-xt71w4nr 55 23 PAF PAF NNP cord-018142-xt71w4nr 55 24 into into IN cord-018142-xt71w4nr 55 25 the the DT cord-018142-xt71w4nr 55 26 circulation circulation NN cord-018142-xt71w4nr 55 27 , , , cord-018142-xt71w4nr 55 28 and and CC cord-018142-xt71w4nr 55 29 induction induction NN cord-018142-xt71w4nr 55 30 of of IN cord-018142-xt71w4nr 55 31 overexpression overexpression NN cord-018142-xt71w4nr 55 32 of of IN cord-018142-xt71w4nr 55 33 plasminogen plasminogen NN cord-018142-xt71w4nr 55 34 activator activator NN cord-018142-xt71w4nr 55 35 inhibitor inhibitor NN cord-018142-xt71w4nr 55 36 ( ( -LRB- cord-018142-xt71w4nr 55 37 PAI)-1 pai)-1 NN cord-018142-xt71w4nr 55 38 on on IN cord-018142-xt71w4nr 55 39 the the DT cord-018142-xt71w4nr 55 40 endothelial endothelial JJ cord-018142-xt71w4nr 55 41 cell cell NN cord-018142-xt71w4nr 55 42 surface surface NN cord-018142-xt71w4nr 55 43 . . . cord-018142-xt71w4nr 56 1 Damaged damage VBN cord-018142-xt71w4nr 56 2 endothelial endothelial JJ cord-018142-xt71w4nr 56 3 cells cell NNS cord-018142-xt71w4nr 56 4 also also RB cord-018142-xt71w4nr 56 5 show show VBP cord-018142-xt71w4nr 56 6 decreased decrease VBD cord-018142-xt71w4nr 56 7 PGI2 PGI2 NNP cord-018142-xt71w4nr 56 8 production production NN cord-018142-xt71w4nr 56 9 , , , cord-018142-xt71w4nr 56 10 and and CC cord-018142-xt71w4nr 56 11 activate activate VBP cord-018142-xt71w4nr 56 12 platelets platelet NNS cord-018142-xt71w4nr 56 13 and and CC cord-018142-xt71w4nr 56 14 neutrophils neutrophil NNS cord-018142-xt71w4nr 56 15 predisposing predispose VBG cord-018142-xt71w4nr 56 16 to to IN cord-018142-xt71w4nr 56 17 platelet platelet NN cord-018142-xt71w4nr 56 18 aggregation aggregation NN cord-018142-xt71w4nr 56 19 on on IN cord-018142-xt71w4nr 56 20 the the DT cord-018142-xt71w4nr 56 21 endothelial endothelial JJ cord-018142-xt71w4nr 56 22 cell cell NN cord-018142-xt71w4nr 56 23 surface surface NN cord-018142-xt71w4nr 56 24 . . . cord-018142-xt71w4nr 57 1 These these DT cord-018142-xt71w4nr 57 2 phenomena phenomenon NNS cord-018142-xt71w4nr 57 3 lead lead VBP cord-018142-xt71w4nr 57 4 to to IN cord-018142-xt71w4nr 57 5 the the DT cord-018142-xt71w4nr 57 6 formation formation NN cord-018142-xt71w4nr 57 7 of of IN cord-018142-xt71w4nr 57 8 fibrin fibrin NN cord-018142-xt71w4nr 57 9 - - HYPH cord-018142-xt71w4nr 57 10 rich rich JJ cord-018142-xt71w4nr 57 11 microthrombi microthrombi NN cord-018142-xt71w4nr 57 12 in in IN cord-018142-xt71w4nr 57 13 renal renal JJ cord-018142-xt71w4nr 57 14 capillaries capillary NNS cord-018142-xt71w4nr 57 15 , , , cord-018142-xt71w4nr 57 16 resulting result VBG cord-018142-xt71w4nr 57 17 in in IN cord-018142-xt71w4nr 57 18 renal renal JJ cord-018142-xt71w4nr 57 19 failure failure NN cord-018142-xt71w4nr 57 20 , , , cord-018142-xt71w4nr 57 21 formation formation NN cord-018142-xt71w4nr 57 22 of of IN cord-018142-xt71w4nr 57 23 schistocytes schistocyte NNS cord-018142-xt71w4nr 57 24 and and CC cord-018142-xt71w4nr 57 25 consumption consumption NN cord-018142-xt71w4nr 57 26 thrombocytopenia thrombocytopenia NN cord-018142-xt71w4nr 57 27 . . . cord-018142-xt71w4nr 58 1 Atypical atypical JJ cord-018142-xt71w4nr 58 2 HUS HUS NNP cord-018142-xt71w4nr 58 3 [ [ -LRB- cord-018142-xt71w4nr 58 4 2 2 CD cord-018142-xt71w4nr 58 5 , , , cord-018142-xt71w4nr 58 6 22 22 CD cord-018142-xt71w4nr 58 7 ] ] -RRB- cord-018142-xt71w4nr 58 8 . . . cord-018142-xt71w4nr 59 1 Atypical atypical JJ cord-018142-xt71w4nr 59 2 HUS hus NN cord-018142-xt71w4nr 59 3 is be VBZ cord-018142-xt71w4nr 59 4 much much RB cord-018142-xt71w4nr 59 5 rarer rare JJR cord-018142-xt71w4nr 59 6 ( ( -LRB- cord-018142-xt71w4nr 59 7 7 7 CD cord-018142-xt71w4nr 59 8 to to TO cord-018142-xt71w4nr 59 9 10 10 CD cord-018142-xt71w4nr 59 10 % % NN cord-018142-xt71w4nr 59 11 of of IN cord-018142-xt71w4nr 59 12 cases case NNS cord-018142-xt71w4nr 59 13 ) ) -RRB- cord-018142-xt71w4nr 59 14 , , , cord-018142-xt71w4nr 59 15 occurring occur VBG cord-018142-xt71w4nr 59 16 sporadically sporadically RB cord-018142-xt71w4nr 59 17 in in IN cord-018142-xt71w4nr 59 18 adults adult NNS cord-018142-xt71w4nr 59 19 and and CC cord-018142-xt71w4nr 59 20 older old JJR cord-018142-xt71w4nr 59 21 children child NNS cord-018142-xt71w4nr 59 22 . . . cord-018142-xt71w4nr 60 1 It -PRON- PRP cord-018142-xt71w4nr 60 2 is be VBZ cord-018142-xt71w4nr 60 3 characterized characterize VBN cord-018142-xt71w4nr 60 4 by by IN cord-018142-xt71w4nr 60 5 the the DT cord-018142-xt71w4nr 60 6 absence absence NN cord-018142-xt71w4nr 60 7 of of IN cord-018142-xt71w4nr 60 8 gastrointestinal gastrointestinal JJ cord-018142-xt71w4nr 60 9 infection infection NN cord-018142-xt71w4nr 60 10 . . . cord-018142-xt71w4nr 61 1 Its -PRON- PRP$ cord-018142-xt71w4nr 61 2 pathophysiology pathophysiology NN cord-018142-xt71w4nr 61 3 is be VBZ cord-018142-xt71w4nr 61 4 poorly poorly RB cord-018142-xt71w4nr 61 5 elucidated elucidate VBN cord-018142-xt71w4nr 61 6 . . . cord-018142-xt71w4nr 62 1 Various various JJ cord-018142-xt71w4nr 62 2 hypotheses hypothesis NNS cord-018142-xt71w4nr 62 3 have have VBP cord-018142-xt71w4nr 62 4 been be VBN cord-018142-xt71w4nr 62 5 proposed propose VBN cord-018142-xt71w4nr 62 6 in in IN cord-018142-xt71w4nr 62 7 adults adult NNS cord-018142-xt71w4nr 62 8 ( ( -LRB- cord-018142-xt71w4nr 62 9 viral viral JJ cord-018142-xt71w4nr 62 10 infections infection NNS cord-018142-xt71w4nr 62 11 , , , cord-018142-xt71w4nr 62 12 bacterial bacterial JJ cord-018142-xt71w4nr 62 13 infections infection NNS cord-018142-xt71w4nr 62 14 , , , cord-018142-xt71w4nr 62 15 certain certain JJ cord-018142-xt71w4nr 62 16 drugs drug NNS cord-018142-xt71w4nr 62 17 , , , cord-018142-xt71w4nr 62 18 etc etc FW cord-018142-xt71w4nr 62 19 . . . cord-018142-xt71w4nr 62 20 ) ) -RRB- cord-018142-xt71w4nr 63 1 to to TO cord-018142-xt71w4nr 63 2 be be VB cord-018142-xt71w4nr 63 3 responsible responsible JJ cord-018142-xt71w4nr 63 4 for for IN cord-018142-xt71w4nr 63 5 endothelial endothelial JJ cord-018142-xt71w4nr 63 6 lesions lesion NNS cord-018142-xt71w4nr 63 7 and and CC cord-018142-xt71w4nr 63 8 features feature NNS cord-018142-xt71w4nr 63 9 of of IN cord-018142-xt71w4nr 63 10 HUS HUS NNP cord-018142-xt71w4nr 63 11 . . . cord-018142-xt71w4nr 64 1 A a DT cord-018142-xt71w4nr 64 2 circulating circulate VBG cord-018142-xt71w4nr 64 3 factor factor NN cord-018142-xt71w4nr 64 4 present present JJ cord-018142-xt71w4nr 64 5 in in IN cord-018142-xt71w4nr 64 6 the the DT cord-018142-xt71w4nr 64 7 kidney kidney NN cord-018142-xt71w4nr 64 8 has have VBZ cord-018142-xt71w4nr 64 9 also also RB cord-018142-xt71w4nr 64 10 been be VBN cord-018142-xt71w4nr 64 11 proposed propose VBN cord-018142-xt71w4nr 64 12 . . . cord-018142-xt71w4nr 65 1 Atypical atypical JJ cord-018142-xt71w4nr 65 2 HUS hus NN cord-018142-xt71w4nr 65 3 in in IN cord-018142-xt71w4nr 65 4 children child NNS cord-018142-xt71w4nr 65 5 has have VBZ cord-018142-xt71w4nr 65 6 been be VBN cord-018142-xt71w4nr 65 7 reported report VBN cord-018142-xt71w4nr 65 8 to to TO cord-018142-xt71w4nr 65 9 be be VB cord-018142-xt71w4nr 65 10 associated associate VBN cord-018142-xt71w4nr 65 11 with with IN cord-018142-xt71w4nr 65 12 persistent persistent JJ cord-018142-xt71w4nr 65 13 consumption consumption NN cord-018142-xt71w4nr 65 14 of of IN cord-018142-xt71w4nr 65 15 the the DT cord-018142-xt71w4nr 65 16 C3 c3 JJ cord-018142-xt71w4nr 65 17 fraction fraction NN cord-018142-xt71w4nr 65 18 of of IN cord-018142-xt71w4nr 65 19 complement complement NN cord-018142-xt71w4nr 65 20 via via IN cord-018142-xt71w4nr 65 21 the the DT cord-018142-xt71w4nr 65 22 alternative alternative JJ cord-018142-xt71w4nr 65 23 pathway pathway NN cord-018142-xt71w4nr 65 24 [ [ -LRB- cord-018142-xt71w4nr 65 25 23 23 CD cord-018142-xt71w4nr 65 26 ] ] -RRB- cord-018142-xt71w4nr 65 27 . . . cord-018142-xt71w4nr 66 1 Decreased decrease VBN cord-018142-xt71w4nr 66 2 complement complement NN cord-018142-xt71w4nr 66 3 levels level NNS cord-018142-xt71w4nr 66 4 can can MD cord-018142-xt71w4nr 66 5 be be VB cord-018142-xt71w4nr 66 6 associated associate VBN cord-018142-xt71w4nr 66 7 with with IN cord-018142-xt71w4nr 66 8 factor factor NN cord-018142-xt71w4nr 66 9 H h NN cord-018142-xt71w4nr 66 10 deficiency deficiency NN cord-018142-xt71w4nr 66 11 ( ( -LRB- cord-018142-xt71w4nr 66 12 factor factor NN cord-018142-xt71w4nr 66 13 H H NNP cord-018142-xt71w4nr 66 14 inhibits inhibit VBZ cord-018142-xt71w4nr 66 15 the the DT cord-018142-xt71w4nr 66 16 alternative alternative JJ cord-018142-xt71w4nr 66 17 complement complement NN cord-018142-xt71w4nr 66 18 pathway pathway NN cord-018142-xt71w4nr 66 19 ) ) -RRB- cord-018142-xt71w4nr 66 20 . . . cord-018142-xt71w4nr 67 1 Atypical atypical JJ cord-018142-xt71w4nr 67 2 HUS hus NN cord-018142-xt71w4nr 67 3 with with IN cord-018142-xt71w4nr 67 4 factor factor NN cord-018142-xt71w4nr 67 5 H h NN cord-018142-xt71w4nr 67 6 deficiency deficiency NN cord-018142-xt71w4nr 67 7 usually usually RB cord-018142-xt71w4nr 67 8 corresponds correspond VBZ cord-018142-xt71w4nr 67 9 to to IN cord-018142-xt71w4nr 67 10 sporadic sporadic JJ cord-018142-xt71w4nr 67 11 cases case NNS cord-018142-xt71w4nr 67 12 rather rather RB cord-018142-xt71w4nr 67 13 than than IN cord-018142-xt71w4nr 67 14 familial familial JJ cord-018142-xt71w4nr 67 15 cases case NNS cord-018142-xt71w4nr 67 16 and and CC cord-018142-xt71w4nr 67 17 is be VBZ cord-018142-xt71w4nr 67 18 rare rare JJ cord-018142-xt71w4nr 67 19 in in IN cord-018142-xt71w4nr 67 20 adults adult NNS cord-018142-xt71w4nr 67 21 [ [ -LRB- cord-018142-xt71w4nr 67 22 24 24 CD cord-018142-xt71w4nr 67 23 , , , cord-018142-xt71w4nr 67 24 25 25 CD cord-018142-xt71w4nr 67 25 ] ] -RRB- cord-018142-xt71w4nr 67 26 . . . cord-018142-xt71w4nr 68 1 There there EX cord-018142-xt71w4nr 68 2 is be VBZ cord-018142-xt71w4nr 68 3 no no DT cord-018142-xt71w4nr 68 4 clearly clearly RB cord-018142-xt71w4nr 68 5 established establish VBN cord-018142-xt71w4nr 68 6 correlation correlation NN cord-018142-xt71w4nr 68 7 between between IN cord-018142-xt71w4nr 68 8 factor factor NN cord-018142-xt71w4nr 68 9 H H NNP cord-018142-xt71w4nr 68 10 deficiency deficiency NN cord-018142-xt71w4nr 68 11 and and CC cord-018142-xt71w4nr 68 12 the the DT cord-018142-xt71w4nr 68 13 development development NN cord-018142-xt71w4nr 68 14 of of IN cord-018142-xt71w4nr 68 15 atypical atypical JJ cord-018142-xt71w4nr 68 16 HUS HUS NNP cord-018142-xt71w4nr 68 17 ( ( -LRB- cord-018142-xt71w4nr 68 18 factor factor NN cord-018142-xt71w4nr 68 19 H h NN cord-018142-xt71w4nr 68 20 deficiency deficiency NN cord-018142-xt71w4nr 68 21 induces induce VBZ cord-018142-xt71w4nr 68 22 excessive excessive JJ cord-018142-xt71w4nr 68 23 C3 c3 JJ cord-018142-xt71w4nr 68 24 consumption consumption NN cord-018142-xt71w4nr 68 25 , , , cord-018142-xt71w4nr 68 26 causing cause VBG cord-018142-xt71w4nr 68 27 increased increase VBN cord-018142-xt71w4nr 68 28 activation activation NN cord-018142-xt71w4nr 68 29 of of IN cord-018142-xt71w4nr 68 30 neutrophils neutrophil NNS cord-018142-xt71w4nr 68 31 and and CC cord-018142-xt71w4nr 68 32 excessive excessive JJ cord-018142-xt71w4nr 68 33 platelet platelet NN cord-018142-xt71w4nr 68 34 aggregation aggregation NN cord-018142-xt71w4nr 68 35 ) ) -RRB- cord-018142-xt71w4nr 68 36 . . . cord-018142-xt71w4nr 68 37 . . . cord-018142-xt71w4nr 69 1 This this DT cord-018142-xt71w4nr 69 2 is be VBZ cord-018142-xt71w4nr 69 3 a a DT cord-018142-xt71w4nr 69 4 particular particular JJ cord-018142-xt71w4nr 69 5 pathophysiological pathophysiological JJ cord-018142-xt71w4nr 69 6 entity entity NN cord-018142-xt71w4nr 69 7 related relate VBN cord-018142-xt71w4nr 69 8 to to IN cord-018142-xt71w4nr 69 9 expression expression NN cord-018142-xt71w4nr 69 10 of of IN cord-018142-xt71w4nr 69 11 the the DT cord-018142-xt71w4nr 69 12 Thomson Thomson NNP cord-018142-xt71w4nr 69 13 Friedenrich Friedenrich NNP cord-018142-xt71w4nr 69 14 antigen antigen NN cord-018142-xt71w4nr 69 15 on on IN cord-018142-xt71w4nr 69 16 the the DT cord-018142-xt71w4nr 69 17 surface surface NN cord-018142-xt71w4nr 69 18 of of IN cord-018142-xt71w4nr 69 19 erythrocytes erythrocyte NNS cord-018142-xt71w4nr 69 20 , , , cord-018142-xt71w4nr 69 21 endothelial endothelial JJ cord-018142-xt71w4nr 69 22 cells cell NNS cord-018142-xt71w4nr 69 23 , , , cord-018142-xt71w4nr 69 24 and and CC cord-018142-xt71w4nr 69 25 glomeruli glomerulus NNS cord-018142-xt71w4nr 69 26 . . . cord-018142-xt71w4nr 70 1 This this DT cord-018142-xt71w4nr 70 2 antigen antigen NN cord-018142-xt71w4nr 70 3 , , , cord-018142-xt71w4nr 70 4 normally normally RB cord-018142-xt71w4nr 70 5 masked mask VBN cord-018142-xt71w4nr 70 6 by by IN cord-018142-xt71w4nr 70 7 sialic sialic JJ cord-018142-xt71w4nr 70 8 acid acid NN cord-018142-xt71w4nr 70 9 , , , cord-018142-xt71w4nr 70 10 is be VBZ cord-018142-xt71w4nr 70 11 revealed reveal VBN cord-018142-xt71w4nr 70 12 by by IN cord-018142-xt71w4nr 70 13 neuraminidase neuraminidase RB cord-018142-xt71w4nr 70 14 secreted secrete VBN cord-018142-xt71w4nr 70 15 by by IN cord-018142-xt71w4nr 70 16 Pneumococcus Pneumococcus NNP cord-018142-xt71w4nr 70 17 . . . cord-018142-xt71w4nr 71 1 This this DT cord-018142-xt71w4nr 71 2 antigen antigen NN cord-018142-xt71w4nr 71 3 is be VBZ cord-018142-xt71w4nr 71 4 then then RB cord-018142-xt71w4nr 71 5 recognized recognize VBN cord-018142-xt71w4nr 71 6 by by IN cord-018142-xt71w4nr 71 7 circulating circulate VBG cord-018142-xt71w4nr 71 8 IgM IgM NNP cord-018142-xt71w4nr 71 9 , , , cord-018142-xt71w4nr 71 10 leading lead VBG cord-018142-xt71w4nr 71 11 to to IN cord-018142-xt71w4nr 71 12 platelet platelet NN cord-018142-xt71w4nr 71 13 aggregation aggregation NN cord-018142-xt71w4nr 71 14 and and CC cord-018142-xt71w4nr 71 15 endothelial endothelial JJ cord-018142-xt71w4nr 71 16 and and CC cord-018142-xt71w4nr 71 17 glomerular glomerular JJ cord-018142-xt71w4nr 71 18 lesions lesion NNS cord-018142-xt71w4nr 71 19 . . . cord-018142-xt71w4nr 72 1 z z LS cord-018142-xt71w4nr 72 2 Diagnosis Diagnosis NNP cord-018142-xt71w4nr 72 3 TMA TMA NNP cord-018142-xt71w4nr 72 4 disorders disorder NNS cord-018142-xt71w4nr 72 5 are be VBP cord-018142-xt71w4nr 72 6 rare rare JJ cord-018142-xt71w4nr 72 7 in in IN cord-018142-xt71w4nr 72 8 intensive intensive JJ cord-018142-xt71w4nr 72 9 care care NN cord-018142-xt71w4nr 72 10 , , , cord-018142-xt71w4nr 72 11 with with IN cord-018142-xt71w4nr 72 12 a a DT cord-018142-xt71w4nr 72 13 prevalence prevalence NN cord-018142-xt71w4nr 72 14 of of IN cord-018142-xt71w4nr 72 15 0.35 0.35 CD cord-018142-xt71w4nr 72 16 % % NN cord-018142-xt71w4nr 72 17 of of IN cord-018142-xt71w4nr 72 18 admissions admission NNS cord-018142-xt71w4nr 72 19 according accord VBG cord-018142-xt71w4nr 72 20 to to IN cord-018142-xt71w4nr 72 21 a a DT cord-018142-xt71w4nr 72 22 retrospective retrospective JJ cord-018142-xt71w4nr 72 23 study study NN cord-018142-xt71w4nr 72 24 conducted conduct VBN cord-018142-xt71w4nr 72 25 in in IN cord-018142-xt71w4nr 72 26 adult adult NN cord-018142-xt71w4nr 72 27 intensive intensive JJ cord-018142-xt71w4nr 72 28 care care NN cord-018142-xt71w4nr 72 29 units unit NNS cord-018142-xt71w4nr 72 30 between between IN cord-018142-xt71w4nr 72 31 1998 1998 CD cord-018142-xt71w4nr 72 32 and and CC cord-018142-xt71w4nr 72 33 2001 2001 CD cord-018142-xt71w4nr 72 34 ( ( -LRB- cord-018142-xt71w4nr 72 35 64 64 CD cord-018142-xt71w4nr 72 36 patients patient NNS cord-018142-xt71w4nr 72 37 ) ) -RRB- cord-018142-xt71w4nr 72 38 [ [ -LRB- cord-018142-xt71w4nr 72 39 11 11 CD cord-018142-xt71w4nr 72 40 ] ] -RRB- cord-018142-xt71w4nr 72 41 . . . cord-018142-xt71w4nr 73 1 They -PRON- PRP cord-018142-xt71w4nr 73 2 represent represent VBP cord-018142-xt71w4nr 73 3 1 1 CD cord-018142-xt71w4nr 73 4 in in IN cord-018142-xt71w4nr 73 5 300 300 CD cord-018142-xt71w4nr 73 6 admissions admission NNS cord-018142-xt71w4nr 73 7 , , , cord-018142-xt71w4nr 73 8 including include VBG cord-018142-xt71w4nr 73 9 cases case NNS cord-018142-xt71w4nr 73 10 of of IN cord-018142-xt71w4nr 73 11 pre pre JJ cord-018142-xt71w4nr 73 12 - - JJ cord-018142-xt71w4nr 73 13 eclampsia eclampsia JJ cord-018142-xt71w4nr 73 14 , , , cord-018142-xt71w4nr 73 15 stem stem NN cord-018142-xt71w4nr 73 16 cell cell NN cord-018142-xt71w4nr 73 17 transplantation transplantation NN cord-018142-xt71w4nr 73 18 , , , cord-018142-xt71w4nr 73 19 HELLP HELLP NNP cord-018142-xt71w4nr 73 20 syndrome syndrome NN cord-018142-xt71w4nr 73 21 and and CC cord-018142-xt71w4nr 73 22 terminal terminal JJ cord-018142-xt71w4nr 73 23 cancer cancer NN cord-018142-xt71w4nr 73 24 . . . cord-018142-xt71w4nr 74 1 Early early JJ cord-018142-xt71w4nr 74 2 diagnosis diagnosis NN cord-018142-xt71w4nr 74 3 is be VBZ cord-018142-xt71w4nr 74 4 important important JJ cord-018142-xt71w4nr 74 5 ( ( -LRB- cord-018142-xt71w4nr 74 6 the the DT cord-018142-xt71w4nr 74 7 prognosis prognosis NN cord-018142-xt71w4nr 74 8 is be VBZ cord-018142-xt71w4nr 74 9 better well JJR cord-018142-xt71w4nr 74 10 when when WRB cord-018142-xt71w4nr 74 11 appropriate appropriate JJ cord-018142-xt71w4nr 74 12 treatment treatment NN cord-018142-xt71w4nr 74 13 is be VBZ cord-018142-xt71w4nr 74 14 rapidly rapidly RB cord-018142-xt71w4nr 74 15 initiated initiate VBN cord-018142-xt71w4nr 74 16 ) ) -RRB- cord-018142-xt71w4nr 74 17 . . . cord-018142-xt71w4nr 75 1 A a DT cord-018142-xt71w4nr 75 2 diagnosis diagnosis NN cord-018142-xt71w4nr 75 3 of of IN cord-018142-xt71w4nr 75 4 TMA TMA NNP cord-018142-xt71w4nr 75 5 must must MD cord-018142-xt71w4nr 75 6 be be VB cord-018142-xt71w4nr 75 7 considered consider VBN cord-018142-xt71w4nr 75 8 in in IN cord-018142-xt71w4nr 75 9 any any DT cord-018142-xt71w4nr 75 10 case case NN cord-018142-xt71w4nr 75 11 of of IN cord-018142-xt71w4nr 75 12 sudden sudden JJ cord-018142-xt71w4nr 75 13 onset onset NN cord-018142-xt71w4nr 75 14 of of IN cord-018142-xt71w4nr 75 15 poorly poorly RB cord-018142-xt71w4nr 75 16 defined define VBN cord-018142-xt71w4nr 75 17 neurological neurological JJ cord-018142-xt71w4nr 75 18 symptoms symptom NNS cord-018142-xt71w4nr 75 19 and and CC cord-018142-xt71w4nr 75 20 hematological hematological JJ cord-018142-xt71w4nr 75 21 abnormalities abnormality NNS cord-018142-xt71w4nr 75 22 ( ( -LRB- cord-018142-xt71w4nr 75 23 especially especially RB cord-018142-xt71w4nr 75 24 thrombocytopenia thrombocytopenia NN cord-018142-xt71w4nr 75 25 and and CC cord-018142-xt71w4nr 75 26 anemia anemia NN cord-018142-xt71w4nr 75 27 ) ) -RRB- cord-018142-xt71w4nr 75 28 . . . cord-018142-xt71w4nr 76 1 TMA TMA NNP cord-018142-xt71w4nr 76 2 is be VBZ cord-018142-xt71w4nr 76 3 observed observe VBN cord-018142-xt71w4nr 76 4 in in IN cord-018142-xt71w4nr 76 5 severely severely RB cord-018142-xt71w4nr 76 6 ill ill JJ cord-018142-xt71w4nr 76 7 patients patient NNS cord-018142-xt71w4nr 76 8 , , , cord-018142-xt71w4nr 76 9 often often RB cord-018142-xt71w4nr 76 10 requiring require VBG cord-018142-xt71w4nr 76 11 admission admission NN cord-018142-xt71w4nr 76 12 to to IN cord-018142-xt71w4nr 76 13 the the DT cord-018142-xt71w4nr 76 14 ICU ICU NNP cord-018142-xt71w4nr 76 15 . . . cord-018142-xt71w4nr 77 1 In in IN cord-018142-xt71w4nr 77 2 a a DT cord-018142-xt71w4nr 77 3 retrospective retrospective JJ cord-018142-xt71w4nr 77 4 study study NN cord-018142-xt71w4nr 77 5 of of IN cord-018142-xt71w4nr 77 6 TMA TMA NNP cord-018142-xt71w4nr 77 7 in in IN cord-018142-xt71w4nr 77 8 63 63 CD cord-018142-xt71w4nr 77 9 adult adult NN cord-018142-xt71w4nr 77 10 ICU ICU NNP cord-018142-xt71w4nr 77 11 patients patient NNS cord-018142-xt71w4nr 77 12 conducted conduct VBN cord-018142-xt71w4nr 77 13 in in IN cord-018142-xt71w4nr 77 14 14 14 CD cord-018142-xt71w4nr 77 15 French french JJ cord-018142-xt71w4nr 77 16 teaching teaching NN cord-018142-xt71w4nr 77 17 hospitals hospital NNS cord-018142-xt71w4nr 77 18 , , , cord-018142-xt71w4nr 77 19 the the DT cord-018142-xt71w4nr 77 20 mean mean JJ cord-018142-xt71w4nr 77 21 simplified simplified JJ cord-018142-xt71w4nr 77 22 acute acute JJ cord-018142-xt71w4nr 77 23 physiology physiology NN cord-018142-xt71w4nr 77 24 score score NN cord-018142-xt71w4nr 77 25 ( ( -LRB- cord-018142-xt71w4nr 77 26 SAPS SAPS NNP cord-018142-xt71w4nr 77 27 ) ) -RRB- cord-018142-xt71w4nr 77 28 II II NNP cord-018142-xt71w4nr 77 29 on on IN cord-018142-xt71w4nr 77 30 admission admission NN cord-018142-xt71w4nr 77 31 was be VBD cord-018142-xt71w4nr 77 32 45 45 CD cord-018142-xt71w4nr 77 33 Ô ô NN cord-018142-xt71w4nr 77 34 26 26 CD cord-018142-xt71w4nr 77 35 [ [ -LRB- cord-018142-xt71w4nr 77 36 11 11 CD cord-018142-xt71w4nr 77 37 ] ] -RRB- cord-018142-xt71w4nr 77 38 . . . cord-018142-xt71w4nr 78 1 In in IN cord-018142-xt71w4nr 78 2 another another DT cord-018142-xt71w4nr 78 3 retrospective retrospective JJ cord-018142-xt71w4nr 78 4 study study NN cord-018142-xt71w4nr 78 5 , , , cord-018142-xt71w4nr 78 6 the the DT cord-018142-xt71w4nr 78 7 mean mean JJ cord-018142-xt71w4nr 78 8 SAPS SAPS NNP cord-018142-xt71w4nr 78 9 II II NNP cord-018142-xt71w4nr 78 10 score score NN cord-018142-xt71w4nr 78 11 on on IN cord-018142-xt71w4nr 78 12 admission admission NN cord-018142-xt71w4nr 78 13 was be VBD cord-018142-xt71w4nr 78 14 37 37 CD cord-018142-xt71w4nr 78 15 Ô ô NN cord-018142-xt71w4nr 78 16 18 18 CD cord-018142-xt71w4nr 78 17 ( ( -LRB- cord-018142-xt71w4nr 78 18 30 30 CD cord-018142-xt71w4nr 78 19 patients patient NNS cord-018142-xt71w4nr 78 20 ) ) -RRB- cord-018142-xt71w4nr 78 21 [ [ -LRB- cord-018142-xt71w4nr 78 22 1 1 CD cord-018142-xt71w4nr 78 23 ] ] -RRB- cord-018142-xt71w4nr 78 24 . . . cord-018142-xt71w4nr 79 1 The the DT cord-018142-xt71w4nr 79 2 criteria criterion NNS cord-018142-xt71w4nr 79 3 for for IN cord-018142-xt71w4nr 79 4 admission admission NN cord-018142-xt71w4nr 79 5 to to IN cord-018142-xt71w4nr 79 6 the the DT cord-018142-xt71w4nr 79 7 ICU ICU NNP cord-018142-xt71w4nr 79 8 are be VBP cord-018142-xt71w4nr 79 9 mainly mainly RB cord-018142-xt71w4nr 79 10 life life NN cord-018142-xt71w4nr 79 11 - - HYPH cord-018142-xt71w4nr 79 12 threatening threaten VBG cord-018142-xt71w4nr 79 13 disease disease NN cord-018142-xt71w4nr 79 14 due due IN cord-018142-xt71w4nr 79 15 to to IN cord-018142-xt71w4nr 79 16 renal renal JJ cord-018142-xt71w4nr 79 17 failure failure NN cord-018142-xt71w4nr 79 18 and/or and/or CC cord-018142-xt71w4nr 79 19 neurological neurological JJ cord-018142-xt71w4nr 79 20 signs sign NNS cord-018142-xt71w4nr 79 21 ( ( -LRB- cord-018142-xt71w4nr 79 22 convulsions convulsion NNS cord-018142-xt71w4nr 79 23 , , , cord-018142-xt71w4nr 79 24 ischemia ischemia NN cord-018142-xt71w4nr 79 25 , , , cord-018142-xt71w4nr 79 26 coma coma NN cord-018142-xt71w4nr 79 27 ) ) -RRB- cord-018142-xt71w4nr 79 28 . . . cord-018142-xt71w4nr 80 1 The the DT cord-018142-xt71w4nr 80 2 other other JJ cord-018142-xt71w4nr 80 3 reasons reason NNS cord-018142-xt71w4nr 80 4 for for IN cord-018142-xt71w4nr 80 5 admission admission NN cord-018142-xt71w4nr 80 6 are be VBP cord-018142-xt71w4nr 80 7 hemorrhage hemorrhage NN cord-018142-xt71w4nr 80 8 , , , cord-018142-xt71w4nr 80 9 metabolic metabolic JJ cord-018142-xt71w4nr 80 10 disorders disorder NNS cord-018142-xt71w4nr 80 11 ( ( -LRB- cord-018142-xt71w4nr 80 12 hepatocellular hepatocellular JJ cord-018142-xt71w4nr 80 13 insufficiency insufficiency NN cord-018142-xt71w4nr 80 14 ) ) -RRB- cord-018142-xt71w4nr 80 15 , , , cord-018142-xt71w4nr 80 16 arrhythmias arrhythmia NNS cord-018142-xt71w4nr 80 17 , , , cord-018142-xt71w4nr 80 18 myocardial myocardial JJ cord-018142-xt71w4nr 80 19 infarction infarction NN cord-018142-xt71w4nr 80 20 , , , cord-018142-xt71w4nr 80 21 etc etc FW cord-018142-xt71w4nr 80 22 [ [ -LRB- cord-018142-xt71w4nr 80 23 26 26 CD cord-018142-xt71w4nr 80 24 ] ] -RRB- cord-018142-xt71w4nr 80 25 . . . cord-018142-xt71w4nr 81 1 Clinical clinical JJ cord-018142-xt71w4nr 81 2 features feature NNS cord-018142-xt71w4nr 81 3 of of IN cord-018142-xt71w4nr 81 4 TTP TTP NNP cord-018142-xt71w4nr 81 5 [ [ -LRB- cord-018142-xt71w4nr 81 6 2 2 CD cord-018142-xt71w4nr 81 7 , , , cord-018142-xt71w4nr 81 8 27 27 CD cord-018142-xt71w4nr 81 9 ] ] -RRB- cord-018142-xt71w4nr 82 1 The the DT cord-018142-xt71w4nr 82 2 clinical clinical JJ cord-018142-xt71w4nr 82 3 presentation presentation NN cord-018142-xt71w4nr 82 4 of of IN cord-018142-xt71w4nr 82 5 TTP TTP NNP cord-018142-xt71w4nr 82 6 is be VBZ cord-018142-xt71w4nr 82 7 marked mark VBN cord-018142-xt71w4nr 82 8 by by IN cord-018142-xt71w4nr 82 9 a a DT cord-018142-xt71w4nr 82 10 sudden sudden JJ cord-018142-xt71w4nr 82 11 onset onset NN cord-018142-xt71w4nr 82 12 in in IN cord-018142-xt71w4nr 82 13 an an DT cord-018142-xt71w4nr 82 14 adult adult NN cord-018142-xt71w4nr 82 15 in in IN cord-018142-xt71w4nr 82 16 previously previously RB cord-018142-xt71w4nr 82 17 good good JJ cord-018142-xt71w4nr 82 18 health health NN cord-018142-xt71w4nr 82 19 . . . cord-018142-xt71w4nr 83 1 It -PRON- PRP cord-018142-xt71w4nr 83 2 has have VBZ cord-018142-xt71w4nr 83 3 a a DT cord-018142-xt71w4nr 83 4 female female JJ cord-018142-xt71w4nr 83 5 predominance predominance NN cord-018142-xt71w4nr 83 6 ( ( -LRB- cord-018142-xt71w4nr 83 7 M M NNP cord-018142-xt71w4nr 83 8 / / SYM cord-018142-xt71w4nr 83 9 F F NNP cord-018142-xt71w4nr 83 10 ratio ratio NN cord-018142-xt71w4nr 83 11 : : : cord-018142-xt71w4nr 83 12 3/2 3/2 LS cord-018142-xt71w4nr 83 13 ) ) -RRB- cord-018142-xt71w4nr 83 14 and and CC cord-018142-xt71w4nr 83 15 generally generally RB cord-018142-xt71w4nr 83 16 occurs occur VBZ cord-018142-xt71w4nr 83 17 in in IN cord-018142-xt71w4nr 83 18 the the DT cord-018142-xt71w4nr 83 19 4th 4th JJ cord-018142-xt71w4nr 83 20 decade decade NN cord-018142-xt71w4nr 83 21 . . . cord-018142-xt71w4nr 84 1 However however RB cord-018142-xt71w4nr 84 2 , , , cord-018142-xt71w4nr 84 3 it -PRON- PRP cord-018142-xt71w4nr 84 4 can can MD cord-018142-xt71w4nr 84 5 also also RB cord-018142-xt71w4nr 84 6 occur occur VB cord-018142-xt71w4nr 84 7 in in IN cord-018142-xt71w4nr 84 8 older old JJR cord-018142-xt71w4nr 84 9 or or CC cord-018142-xt71w4nr 84 10 younger young JJR cord-018142-xt71w4nr 84 11 people people NNS cord-018142-xt71w4nr 84 12 . . . cord-018142-xt71w4nr 85 1 The the DT cord-018142-xt71w4nr 85 2 estimated estimate VBN cord-018142-xt71w4nr 85 3 incidence incidence NN cord-018142-xt71w4nr 85 4 is be VBZ cord-018142-xt71w4nr 85 5 4 4 CD cord-018142-xt71w4nr 85 6 per per IN cord-018142-xt71w4nr 85 7 million million CD cord-018142-xt71w4nr 85 8 inhabitants inhabitant NNS cord-018142-xt71w4nr 85 9 per per IN cord-018142-xt71w4nr 85 10 year year NN cord-018142-xt71w4nr 85 11 and and CC cord-018142-xt71w4nr 85 12 has have VBZ cord-018142-xt71w4nr 85 13 been be VBN cord-018142-xt71w4nr 85 14 constantly constantly RB cord-018142-xt71w4nr 85 15 increasing increase VBG cord-018142-xt71w4nr 85 16 over over IN cord-018142-xt71w4nr 85 17 recent recent JJ cord-018142-xt71w4nr 85 18 years year NNS cord-018142-xt71w4nr 85 19 . . . cord-018142-xt71w4nr 86 1 In in IN cord-018142-xt71w4nr 86 2 40 40 CD cord-018142-xt71w4nr 86 3 % % NN cord-018142-xt71w4nr 86 4 of of IN cord-018142-xt71w4nr 86 5 cases case NNS cord-018142-xt71w4nr 86 6 , , , cord-018142-xt71w4nr 86 7 there there EX cord-018142-xt71w4nr 86 8 is be VBZ cord-018142-xt71w4nr 86 9 a a DT cord-018142-xt71w4nr 86 10 prodromal prodromal JJ cord-018142-xt71w4nr 86 11 phase phase NN cord-018142-xt71w4nr 86 12 resembling resemble VBG cord-018142-xt71w4nr 86 13 viral viral JJ cord-018142-xt71w4nr 86 14 infection infection NN cord-018142-xt71w4nr 86 15 for for IN cord-018142-xt71w4nr 86 16 several several JJ cord-018142-xt71w4nr 86 17 days day NNS cord-018142-xt71w4nr 86 18 before before IN cord-018142-xt71w4nr 86 19 the the DT cord-018142-xt71w4nr 86 20 acute acute JJ cord-018142-xt71w4nr 86 21 episode episode NN cord-018142-xt71w4nr 86 22 ( ( -LRB- cord-018142-xt71w4nr 86 23 asthenia asthenia NNP cord-018142-xt71w4nr 86 24 , , , cord-018142-xt71w4nr 86 25 arthralgia arthralgia NNP cord-018142-xt71w4nr 86 26 , , , cord-018142-xt71w4nr 86 27 myalgia myalgia NNP cord-018142-xt71w4nr 86 28 , , , cord-018142-xt71w4nr 86 29 low low JJ cord-018142-xt71w4nr 86 30 back back RB cord-018142-xt71w4nr 86 31 and and CC cord-018142-xt71w4nr 86 32 abdominal abdominal JJ cord-018142-xt71w4nr 86 33 pain pain NN cord-018142-xt71w4nr 86 34 ) ) -RRB- cord-018142-xt71w4nr 86 35 . . . cord-018142-xt71w4nr 87 1 In in IN cord-018142-xt71w4nr 87 2 80 80 CD cord-018142-xt71w4nr 87 3 % % NN cord-018142-xt71w4nr 87 4 of of IN cord-018142-xt71w4nr 87 5 cases case NNS cord-018142-xt71w4nr 87 6 , , , cord-018142-xt71w4nr 87 7 the the DT cord-018142-xt71w4nr 87 8 triad triad NN cord-018142-xt71w4nr 87 9 suggestive suggestive JJ cord-018142-xt71w4nr 87 10 of of IN cord-018142-xt71w4nr 87 11 the the DT cord-018142-xt71w4nr 87 12 diagnosis diagnosis NN cord-018142-xt71w4nr 87 13 is be VBZ cord-018142-xt71w4nr 87 14 observed observe VBN cord-018142-xt71w4nr 87 15 immediately immediately RB cord-018142-xt71w4nr 87 16 ( ( -LRB- cord-018142-xt71w4nr 87 17 mechanical mechanical JJ cord-018142-xt71w4nr 87 18 hemolytic hemolytic JJ cord-018142-xt71w4nr 87 19 anemia anemia NN cord-018142-xt71w4nr 87 20 , , , cord-018142-xt71w4nr 87 21 peripheral peripheral JJ cord-018142-xt71w4nr 87 22 thrombocytopenia thrombocytopenia NNS cord-018142-xt71w4nr 87 23 and and CC cord-018142-xt71w4nr 87 24 neurological neurological JJ cord-018142-xt71w4nr 87 25 signs sign NNS cord-018142-xt71w4nr 87 26 ) ) -RRB- cord-018142-xt71w4nr 87 27 . . . cord-018142-xt71w4nr 88 1 In in IN cord-018142-xt71w4nr 88 2 40 40 CD cord-018142-xt71w4nr 88 3 % % NN cord-018142-xt71w4nr 88 4 of of IN cord-018142-xt71w4nr 88 5 cases case NNS cord-018142-xt71w4nr 88 6 , , , cord-018142-xt71w4nr 88 7 two two CD cord-018142-xt71w4nr 88 8 other other JJ cord-018142-xt71w4nr 88 9 cardinal cardinal JJ cord-018142-xt71w4nr 88 10 signs sign NNS cord-018142-xt71w4nr 88 11 are be VBP cord-018142-xt71w4nr 88 12 present present JJ cord-018142-xt71w4nr 88 13 ( ( -LRB- cord-018142-xt71w4nr 88 14 hyperthermia hyperthermia NN cord-018142-xt71w4nr 88 15 and and CC cord-018142-xt71w4nr 88 16 renal renal JJ cord-018142-xt71w4nr 88 17 failure failure NN cord-018142-xt71w4nr 88 18 ) ) -RRB- cord-018142-xt71w4nr 88 19 . . . cord-018142-xt71w4nr 89 1 The the DT cord-018142-xt71w4nr 89 2 diagnosis diagnosis NN cord-018142-xt71w4nr 89 3 of of IN cord-018142-xt71w4nr 89 4 TTP TTP NNP cord-018142-xt71w4nr 89 5 must must MD cord-018142-xt71w4nr 89 6 always always RB cord-018142-xt71w4nr 89 7 be be VB cord-018142-xt71w4nr 89 8 considered consider VBN cord-018142-xt71w4nr 89 9 in in IN cord-018142-xt71w4nr 89 10 a a DT cord-018142-xt71w4nr 89 11 patient patient NN cord-018142-xt71w4nr 89 12 with with IN cord-018142-xt71w4nr 89 13 anemia anemia NN cord-018142-xt71w4nr 89 14 and and CC cord-018142-xt71w4nr 89 15 thrombocytopenia thrombocytopenia NN cord-018142-xt71w4nr 89 16 associated associate VBN cord-018142-xt71w4nr 89 17 with with IN cord-018142-xt71w4nr 89 18 organ organ NN cord-018142-xt71w4nr 89 19 failure failure NN cord-018142-xt71w4nr 89 20 . . . cord-018142-xt71w4nr 90 1 Anemia anemia NN cord-018142-xt71w4nr 90 2 is be VBZ cord-018142-xt71w4nr 90 3 the the DT cord-018142-xt71w4nr 90 4 most most RBS cord-018142-xt71w4nr 90 5 constant constant JJ cord-018142-xt71w4nr 90 6 and and CC cord-018142-xt71w4nr 90 7 earliest early JJS cord-018142-xt71w4nr 90 8 feature feature NN cord-018142-xt71w4nr 90 9 and and CC cord-018142-xt71w4nr 90 10 consists consist VBZ cord-018142-xt71w4nr 90 11 of of IN cord-018142-xt71w4nr 90 12 severe severe JJ cord-018142-xt71w4nr 90 13 , , , cord-018142-xt71w4nr 90 14 regenerating regenerate VBG cord-018142-xt71w4nr 90 15 ( ( -LRB- cord-018142-xt71w4nr 90 16 reticulocytes reticulocyte NNS cord-018142-xt71w4nr 90 17 > > NFP cord-018142-xt71w4nr 90 18 120,000 120,000 CD cord-018142-xt71w4nr 90 19 mm mm CD cord-018142-xt71w4nr 90 20 3 3 CD cord-018142-xt71w4nr 90 21 ) ) -RRB- cord-018142-xt71w4nr 90 22 , , , cord-018142-xt71w4nr 90 23 normochromic normochromic NNP cord-018142-xt71w4nr 90 24 , , , cord-018142-xt71w4nr 90 25 normocytic normocytic JJ cord-018142-xt71w4nr 90 26 , , , cord-018142-xt71w4nr 90 27 hemolytic hemolytic JJ cord-018142-xt71w4nr 90 28 ( ( -LRB- cord-018142-xt71w4nr 90 29 elevated elevated JJ cord-018142-xt71w4nr 90 30 lactate lactate NN cord-018142-xt71w4nr 90 31 dehydrogenase dehydrogenase NN cord-018142-xt71w4nr 90 32 [ [ -LRB- cord-018142-xt71w4nr 90 33 LDH LDH NNP cord-018142-xt71w4nr 90 34 ] ] -RRB- cord-018142-xt71w4nr 90 35 and and CC cord-018142-xt71w4nr 90 36 bilirubin bilirubin NN cord-018142-xt71w4nr 90 37 , , , cord-018142-xt71w4nr 90 38 and and CC cord-018142-xt71w4nr 90 39 very very RB cord-018142-xt71w4nr 90 40 low low JJ cord-018142-xt71w4nr 90 41 haptoglobin haptoglobin NN cord-018142-xt71w4nr 90 42 ) ) -RRB- cord-018142-xt71w4nr 90 43 , , , cord-018142-xt71w4nr 90 44 microangiopathic microangiopathic JJ cord-018142-xt71w4nr 90 45 anemia anemia NN cord-018142-xt71w4nr 90 46 . . . cord-018142-xt71w4nr 91 1 The the DT cord-018142-xt71w4nr 91 2 blood blood NN cord-018142-xt71w4nr 91 3 smear smear NN cord-018142-xt71w4nr 91 4 reveals reveal VBZ cord-018142-xt71w4nr 91 5 schistocytes schistocyte NNS cord-018142-xt71w4nr 91 6 , , , cord-018142-xt71w4nr 91 7 confirming confirm VBG cord-018142-xt71w4nr 91 8 the the DT cord-018142-xt71w4nr 91 9 mechanical mechanical JJ cord-018142-xt71w4nr 91 10 hemolysis hemolysis NN cord-018142-xt71w4nr 91 11 ( ( -LRB- cord-018142-xt71w4nr 91 12 negative negative JJ cord-018142-xt71w4nr 91 13 direct direct JJ cord-018142-xt71w4nr 91 14 Coombs Coombs NNP cord-018142-xt71w4nr 91 15 test test NN cord-018142-xt71w4nr 91 16 ) ) -RRB- cord-018142-xt71w4nr 91 17 . . . cord-018142-xt71w4nr 92 1 The the DT cord-018142-xt71w4nr 92 2 presence presence NN cord-018142-xt71w4nr 92 3 of of IN cord-018142-xt71w4nr 92 4 schistocytes schistocyte NNS cord-018142-xt71w4nr 92 5 may may MD cord-018142-xt71w4nr 92 6 be be VB cord-018142-xt71w4nr 92 7 delayed delay VBN cord-018142-xt71w4nr 92 8 and and CC cord-018142-xt71w4nr 92 9 should should MD cord-018142-xt71w4nr 92 10 be be VB cord-018142-xt71w4nr 92 11 looked look VBN cord-018142-xt71w4nr 92 12 for for IN cord-018142-xt71w4nr 92 13 on on IN cord-018142-xt71w4nr 92 14 subsequent subsequent JJ cord-018142-xt71w4nr 92 15 smears smear NNS cord-018142-xt71w4nr 92 16 [ [ -LRB- cord-018142-xt71w4nr 92 17 28 28 CD cord-018142-xt71w4nr 92 18 ] ] -RRB- cord-018142-xt71w4nr 92 19 . . . cord-018142-xt71w4nr 93 1 Peripheral peripheral JJ cord-018142-xt71w4nr 93 2 thrombocytopenia thrombocytopenia NN cord-018142-xt71w4nr 93 3 is be VBZ cord-018142-xt71w4nr 93 4 marked mark VBN cord-018142-xt71w4nr 93 5 ( ( -LRB- cord-018142-xt71w4nr 93 6 often often RB cord-018142-xt71w4nr 93 7 less less JJR cord-018142-xt71w4nr 93 8 than than IN cord-018142-xt71w4nr 93 9 20,000 20,000 CD cord-018142-xt71w4nr 93 10 / / SYM cord-018142-xt71w4nr 93 11 mm mm NN cord-018142-xt71w4nr 93 12 3 3 CD cord-018142-xt71w4nr 93 13 ) ) -RRB- cord-018142-xt71w4nr 93 14 and and CC cord-018142-xt71w4nr 93 15 constant constant JJ cord-018142-xt71w4nr 93 16 and and CC cord-018142-xt71w4nr 93 17 reflects reflect VBZ cord-018142-xt71w4nr 93 18 disseminated disseminate VBN cord-018142-xt71w4nr 93 19 intravascular intravascular JJ cord-018142-xt71w4nr 93 20 platelet platelet NN cord-018142-xt71w4nr 93 21 hyperaggregability hyperaggregability NN cord-018142-xt71w4nr 93 22 . . . cord-018142-xt71w4nr 94 1 The the DT cord-018142-xt71w4nr 94 2 hemorrhagic hemorrhagic JJ cord-018142-xt71w4nr 94 3 manifestations manifestation NNS cord-018142-xt71w4nr 94 4 related relate VBN cord-018142-xt71w4nr 94 5 to to IN cord-018142-xt71w4nr 94 6 this this DT cord-018142-xt71w4nr 94 7 thrombocytopenia thrombocytopenia NN cord-018142-xt71w4nr 94 8 are be VBP cord-018142-xt71w4nr 94 9 varied varied JJ cord-018142-xt71w4nr 94 10 in in IN cord-018142-xt71w4nr 94 11 terms term NNS cord-018142-xt71w4nr 94 12 of of IN cord-018142-xt71w4nr 94 13 site site NN cord-018142-xt71w4nr 94 14 and and CC cord-018142-xt71w4nr 94 15 severity severity NN cord-018142-xt71w4nr 94 16 . . . cord-018142-xt71w4nr 95 1 Clotting clotting NN cord-018142-xt71w4nr 95 2 tests test NNS cord-018142-xt71w4nr 95 3 are be VBP cord-018142-xt71w4nr 95 4 normal normal JJ cord-018142-xt71w4nr 95 5 . . . cord-018142-xt71w4nr 96 1 Fibrin fibrin NN cord-018142-xt71w4nr 96 2 and and CC cord-018142-xt71w4nr 96 3 fibrinogen fibrinogen NN cord-018142-xt71w4nr 96 4 degradation degradation NN cord-018142-xt71w4nr 96 5 products product NNS cord-018142-xt71w4nr 96 6 ( ( -LRB- cord-018142-xt71w4nr 96 7 FDP FDP NNP cord-018142-xt71w4nr 96 8 ) ) -RRB- cord-018142-xt71w4nr 96 9 may may MD cord-018142-xt71w4nr 96 10 be be VB cord-018142-xt71w4nr 96 11 observed observe VBN cord-018142-xt71w4nr 96 12 in in IN cord-018142-xt71w4nr 96 13 rare rare JJ cord-018142-xt71w4nr 96 14 cases case NNS cord-018142-xt71w4nr 96 15 . . . cord-018142-xt71w4nr 97 1 Neurological neurological JJ cord-018142-xt71w4nr 97 2 signs sign NNS cord-018142-xt71w4nr 97 3 are be VBP cord-018142-xt71w4nr 97 4 present present JJ cord-018142-xt71w4nr 97 5 in in IN cord-018142-xt71w4nr 97 6 only only RB cord-018142-xt71w4nr 97 7 60 60 CD cord-018142-xt71w4nr 97 8 % % NN cord-018142-xt71w4nr 97 9 of of IN cord-018142-xt71w4nr 97 10 cases case NNS cord-018142-xt71w4nr 97 11 at at IN cord-018142-xt71w4nr 97 12 the the DT cord-018142-xt71w4nr 97 13 initial initial JJ cord-018142-xt71w4nr 97 14 phase phase NN cord-018142-xt71w4nr 97 15 of of IN cord-018142-xt71w4nr 97 16 the the DT cord-018142-xt71w4nr 97 17 disease disease NN cord-018142-xt71w4nr 97 18 ( ( -LRB- cord-018142-xt71w4nr 97 19 and and CC cord-018142-xt71w4nr 97 20 globally globally RB cord-018142-xt71w4nr 97 21 in in IN cord-018142-xt71w4nr 97 22 84 84 CD cord-018142-xt71w4nr 97 23 to to TO cord-018142-xt71w4nr 97 24 92 92 CD cord-018142-xt71w4nr 97 25 % % NN cord-018142-xt71w4nr 97 26 of of IN cord-018142-xt71w4nr 97 27 cases case NNS cord-018142-xt71w4nr 97 28 during during IN cord-018142-xt71w4nr 97 29 the the DT cord-018142-xt71w4nr 97 30 course course NN cord-018142-xt71w4nr 97 31 of of IN cord-018142-xt71w4nr 97 32 the the DT cord-018142-xt71w4nr 97 33 disease disease NN cord-018142-xt71w4nr 97 34 ) ) -RRB- cord-018142-xt71w4nr 97 35 . . . cord-018142-xt71w4nr 98 1 They -PRON- PRP cord-018142-xt71w4nr 98 2 are be VBP cord-018142-xt71w4nr 98 3 characterized characterize VBN cord-018142-xt71w4nr 98 4 by by IN cord-018142-xt71w4nr 98 5 their -PRON- PRP$ cord-018142-xt71w4nr 98 6 sudden sudden JJ cord-018142-xt71w4nr 98 7 onset onset NN cord-018142-xt71w4nr 98 8 and and CC cord-018142-xt71w4nr 98 9 transient transient JJ cord-018142-xt71w4nr 98 10 nature nature NN cord-018142-xt71w4nr 98 11 , , , cord-018142-xt71w4nr 98 12 and and CC cord-018142-xt71w4nr 98 13 intermittent intermittent JJ cord-018142-xt71w4nr 98 14 involvement involvement NN cord-018142-xt71w4nr 98 15 of of IN cord-018142-xt71w4nr 98 16 various various JJ cord-018142-xt71w4nr 98 17 territories territory NNS cord-018142-xt71w4nr 98 18 over over IN cord-018142-xt71w4nr 98 19 an an DT cord-018142-xt71w4nr 98 20 interval interval NN cord-018142-xt71w4nr 98 21 of of IN cord-018142-xt71w4nr 98 22 several several JJ cord-018142-xt71w4nr 98 23 hours hour NNS cord-018142-xt71w4nr 98 24 . . . cord-018142-xt71w4nr 99 1 Neurological neurological JJ cord-018142-xt71w4nr 99 2 signs sign NNS cord-018142-xt71w4nr 99 3 comprise comprise VBP cord-018142-xt71w4nr 99 4 : : : cord-018142-xt71w4nr 99 5 obtundation obtundation NN cord-018142-xt71w4nr 99 6 , , , cord-018142-xt71w4nr 99 7 confusion confusion NN cord-018142-xt71w4nr 99 8 , , , cord-018142-xt71w4nr 99 9 hemiparesis hemiparesis NN cord-018142-xt71w4nr 99 10 , , , cord-018142-xt71w4nr 99 11 dysarthria dysarthria NN cord-018142-xt71w4nr 99 12 , , , cord-018142-xt71w4nr 99 13 aphasia aphasia NNP cord-018142-xt71w4nr 99 14 , , , cord-018142-xt71w4nr 99 15 coma coma NN cord-018142-xt71w4nr 99 16 , , , cord-018142-xt71w4nr 99 17 disorders disorder NNS cord-018142-xt71w4nr 99 18 of of IN cord-018142-xt71w4nr 99 19 consciousness consciousness NN cord-018142-xt71w4nr 99 20 , , , cord-018142-xt71w4nr 99 21 sensory sensory JJ cord-018142-xt71w4nr 99 22 deficit deficit NN cord-018142-xt71w4nr 99 23 . . . cord-018142-xt71w4nr 100 1 Deep deep JJ cord-018142-xt71w4nr 100 2 tendon tendon NN cord-018142-xt71w4nr 100 3 reflexes reflex NNS cord-018142-xt71w4nr 100 4 are be VBP cord-018142-xt71w4nr 100 5 often often RB cord-018142-xt71w4nr 100 6 brisk brisk JJ cord-018142-xt71w4nr 100 7 . . . cord-018142-xt71w4nr 101 1 Generalized generalized JJ cord-018142-xt71w4nr 101 2 convulsions convulsion NNS cord-018142-xt71w4nr 101 3 are be VBP cord-018142-xt71w4nr 101 4 observed observe VBN cord-018142-xt71w4nr 101 5 in in IN cord-018142-xt71w4nr 101 6 20 20 CD cord-018142-xt71w4nr 101 7 % % NN cord-018142-xt71w4nr 101 8 of of IN cord-018142-xt71w4nr 101 9 cases case NNS cord-018142-xt71w4nr 101 10 and and CC cord-018142-xt71w4nr 101 11 can can MD cord-018142-xt71w4nr 101 12 evolve evolve VB cord-018142-xt71w4nr 101 13 to to TO cord-018142-xt71w4nr 101 14 status status NN cord-018142-xt71w4nr 101 15 epilepticus epilepticus NN cord-018142-xt71w4nr 101 16 . . . cord-018142-xt71w4nr 102 1 Hyperthermia hyperthermia NN cord-018142-xt71w4nr 102 2 is be VBZ cord-018142-xt71w4nr 102 3 present present JJ cord-018142-xt71w4nr 102 4 in in IN cord-018142-xt71w4nr 102 5 20 20 CD cord-018142-xt71w4nr 102 6 % % NN cord-018142-xt71w4nr 102 7 of of IN cord-018142-xt71w4nr 102 8 cases case NNS cord-018142-xt71w4nr 102 9 at at IN cord-018142-xt71w4nr 102 10 the the DT cord-018142-xt71w4nr 102 11 initial initial JJ cord-018142-xt71w4nr 102 12 phase phase NN cord-018142-xt71w4nr 102 13 , , , cord-018142-xt71w4nr 102 14 and and CC cord-018142-xt71w4nr 102 15 then then RB cord-018142-xt71w4nr 102 16 in in IN cord-018142-xt71w4nr 102 17 59 59 CD cord-018142-xt71w4nr 102 18 to to TO cord-018142-xt71w4nr 102 19 89 89 CD cord-018142-xt71w4nr 102 20 % % NN cord-018142-xt71w4nr 102 21 of of IN cord-018142-xt71w4nr 102 22 cases case NNS cord-018142-xt71w4nr 102 23 during during IN cord-018142-xt71w4nr 102 24 the the DT cord-018142-xt71w4nr 102 25 course course NN cord-018142-xt71w4nr 102 26 of of IN cord-018142-xt71w4nr 102 27 the the DT cord-018142-xt71w4nr 102 28 disease disease NN cord-018142-xt71w4nr 102 29 . . . cord-018142-xt71w4nr 103 1 It -PRON- PRP cord-018142-xt71w4nr 103 2 is be VBZ cord-018142-xt71w4nr 103 3 usually usually RB cord-018142-xt71w4nr 103 4 only only RB cord-018142-xt71w4nr 103 5 low low JJ cord-018142-xt71w4nr 103 6 - - HYPH cord-018142-xt71w4nr 103 7 grade grade NN cord-018142-xt71w4nr 103 8 and and CC cord-018142-xt71w4nr 103 9 reflects reflect VBZ cord-018142-xt71w4nr 103 10 underlying underlie VBG cord-018142-xt71w4nr 103 11 hemolysis hemolysis NN cord-018142-xt71w4nr 103 12 and and CC cord-018142-xt71w4nr 103 13 cellular cellular JJ cord-018142-xt71w4nr 103 14 ischemia ischemia NN cord-018142-xt71w4nr 103 15 . . . cord-018142-xt71w4nr 104 1 Renal renal JJ cord-018142-xt71w4nr 104 2 failure failure NN cord-018142-xt71w4nr 104 3 occurs occur VBZ cord-018142-xt71w4nr 104 4 in in IN cord-018142-xt71w4nr 104 5 one one CD cord-018142-xt71w4nr 104 6 half half NN cord-018142-xt71w4nr 104 7 of of IN cord-018142-xt71w4nr 104 8 cases case NNS cord-018142-xt71w4nr 104 9 . . . cord-018142-xt71w4nr 105 1 It -PRON- PRP cord-018142-xt71w4nr 105 2 is be VBZ cord-018142-xt71w4nr 105 3 usually usually RB cord-018142-xt71w4nr 105 4 moderate moderate JJ cord-018142-xt71w4nr 105 5 and and CC cord-018142-xt71w4nr 105 6 , , , cord-018142-xt71w4nr 105 7 in in IN cord-018142-xt71w4nr 105 8 the the DT cord-018142-xt71w4nr 105 9 majority majority NN cord-018142-xt71w4nr 105 10 of of IN cord-018142-xt71w4nr 105 11 cases case NNS cord-018142-xt71w4nr 105 12 , , , cord-018142-xt71w4nr 105 13 consists consist VBZ cord-018142-xt71w4nr 105 14 of of IN cord-018142-xt71w4nr 105 15 macroscopic macroscopic JJ cord-018142-xt71w4nr 105 16 hematuria hematuria NN cord-018142-xt71w4nr 105 17 or or CC cord-018142-xt71w4nr 105 18 slight slight JJ cord-018142-xt71w4nr 105 19 proteinuria proteinuria NN cord-018142-xt71w4nr 105 20 ( ( -LRB- cord-018142-xt71w4nr 105 21 less less JJR cord-018142-xt71w4nr 105 22 than than IN cord-018142-xt71w4nr 105 23 3 3 CD cord-018142-xt71w4nr 105 24 g/24 g/24 NN cord-018142-xt71w4nr 105 25 h h NN cord-018142-xt71w4nr 105 26 ) ) -RRB- cord-018142-xt71w4nr 105 27 . . . cord-018142-xt71w4nr 106 1 Oligo Oligo NNP cord-018142-xt71w4nr 106 2 - - HYPH cord-018142-xt71w4nr 106 3 anuric anuric JJ cord-018142-xt71w4nr 106 4 renal renal JJ cord-018142-xt71w4nr 106 5 failure failure NN cord-018142-xt71w4nr 106 6 is be VBZ cord-018142-xt71w4nr 106 7 rare rare JJ cord-018142-xt71w4nr 106 8 . . . cord-018142-xt71w4nr 107 1 Other other JJ cord-018142-xt71w4nr 107 2 organ organ NN cord-018142-xt71w4nr 107 3 lesions lesion NNS cord-018142-xt71w4nr 107 4 may may MD cord-018142-xt71w4nr 107 5 be be VB cord-018142-xt71w4nr 107 6 observed observe VBN cord-018142-xt71w4nr 107 7 , , , cord-018142-xt71w4nr 107 8 particularly particularly RB cord-018142-xt71w4nr 107 9 myocardial myocardial JJ cord-018142-xt71w4nr 107 10 infarction infarction NN cord-018142-xt71w4nr 107 11 or or CC cord-018142-xt71w4nr 107 12 myocarditis myocarditis NN cord-018142-xt71w4nr 107 13 that that WDT cord-018142-xt71w4nr 107 14 may may MD cord-018142-xt71w4nr 107 15 lead lead VB cord-018142-xt71w4nr 107 16 to to IN cord-018142-xt71w4nr 107 17 acute acute JJ cord-018142-xt71w4nr 107 18 cardiogenic cardiogenic JJ cord-018142-xt71w4nr 107 19 shock shock NN cord-018142-xt71w4nr 107 20 and and CC cord-018142-xt71w4nr 107 21 chronic chronic JJ cord-018142-xt71w4nr 107 22 heart heart NN cord-018142-xt71w4nr 107 23 failure failure NN cord-018142-xt71w4nr 107 24 . . . cord-018142-xt71w4nr 108 1 Acute acute JJ cord-018142-xt71w4nr 108 2 respiratory respiratory JJ cord-018142-xt71w4nr 108 3 distress distress NN cord-018142-xt71w4nr 108 4 syndrome syndrome NN cord-018142-xt71w4nr 108 5 ( ( -LRB- cord-018142-xt71w4nr 108 6 ARDS ARDS NNP cord-018142-xt71w4nr 108 7 ) ) -RRB- cord-018142-xt71w4nr 108 8 requiring require VBG cord-018142-xt71w4nr 108 9 mechanical mechanical JJ cord-018142-xt71w4nr 108 10 ventilation ventilation NN cord-018142-xt71w4nr 108 11 , , , cord-018142-xt71w4nr 108 12 colonic colonic JJ cord-018142-xt71w4nr 108 13 ischemic ischemic JJ cord-018142-xt71w4nr 108 14 , , , cord-018142-xt71w4nr 108 15 acute acute JJ cord-018142-xt71w4nr 108 16 pancreatitis pancreatitis NN cord-018142-xt71w4nr 108 17 and and CC cord-018142-xt71w4nr 108 18 sometimes sometimes RB cord-018142-xt71w4nr 108 19 ocular ocular JJ cord-018142-xt71w4nr 108 20 lesions lesion NNS cord-018142-xt71w4nr 108 21 may may MD cord-018142-xt71w4nr 108 22 also also RB cord-018142-xt71w4nr 108 23 be be VB cord-018142-xt71w4nr 108 24 observed observe VBN cord-018142-xt71w4nr 108 25 . . . cord-018142-xt71w4nr 109 1 Sporadic sporadic JJ cord-018142-xt71w4nr 109 2 TTP TTP NNP cord-018142-xt71w4nr 109 3 that that WDT cord-018142-xt71w4nr 109 4 resolves resolve VBZ cord-018142-xt71w4nr 109 5 definitively definitively RB cord-018142-xt71w4nr 109 6 is be VBZ cord-018142-xt71w4nr 109 7 distinguished distinguish VBN cord-018142-xt71w4nr 109 8 from from IN cord-018142-xt71w4nr 109 9 recurrent recurrent JJ cord-018142-xt71w4nr 109 10 forms form NNS cord-018142-xt71w4nr 109 11 with with IN cord-018142-xt71w4nr 109 12 regular regular JJ cord-018142-xt71w4nr 109 13 and and CC cord-018142-xt71w4nr 109 14 frequent frequent JJ cord-018142-xt71w4nr 109 15 relapses relapse NNS cord-018142-xt71w4nr 109 16 , , , cord-018142-xt71w4nr 109 17 and and CC cord-018142-xt71w4nr 109 18 intermittent intermittent JJ cord-018142-xt71w4nr 109 19 TTP ttp NN cord-018142-xt71w4nr 109 20 associated associate VBN cord-018142-xt71w4nr 109 21 with with IN cord-018142-xt71w4nr 109 22 irregular irregular JJ cord-018142-xt71w4nr 109 23 relapses relapse NNS cord-018142-xt71w4nr 109 24 [ [ -LRB- cord-018142-xt71w4nr 109 25 29 29 CD cord-018142-xt71w4nr 109 26 ] ] -RRB- cord-018142-xt71w4nr 109 27 . . . cord-018142-xt71w4nr 110 1 HUS HUS NNP cord-018142-xt71w4nr 110 2 comprises comprise VBZ cord-018142-xt71w4nr 110 3 a a DT cord-018142-xt71w4nr 110 4 combination combination NN cord-018142-xt71w4nr 110 5 of of IN cord-018142-xt71w4nr 110 6 mechanical mechanical JJ cord-018142-xt71w4nr 110 7 hemolytic hemolytic JJ cord-018142-xt71w4nr 110 8 anemia anemia NN cord-018142-xt71w4nr 110 9 , , , cord-018142-xt71w4nr 110 10 peripheral peripheral JJ cord-018142-xt71w4nr 110 11 thrombocytopenia thrombocytopenia NN cord-018142-xt71w4nr 110 12 and and CC cord-018142-xt71w4nr 110 13 acute acute JJ cord-018142-xt71w4nr 110 14 renal renal JJ cord-018142-xt71w4nr 110 15 failure failure NN cord-018142-xt71w4nr 110 16 . . . cord-018142-xt71w4nr 111 1 The the DT cord-018142-xt71w4nr 111 2 renal renal JJ cord-018142-xt71w4nr 111 3 lesion lesion NN cord-018142-xt71w4nr 111 4 is be VBZ cord-018142-xt71w4nr 111 5 predominant predominant JJ cord-018142-xt71w4nr 111 6 in in IN cord-018142-xt71w4nr 111 7 all all DT cord-018142-xt71w4nr 111 8 forms form NNS cord-018142-xt71w4nr 111 9 and and CC cord-018142-xt71w4nr 111 10 is be VBZ cord-018142-xt71w4nr 111 11 classically classically RB cord-018142-xt71w4nr 111 12 associated associate VBN cord-018142-xt71w4nr 111 13 with with IN cord-018142-xt71w4nr 111 14 severe severe JJ cord-018142-xt71w4nr 111 15 hypertension hypertension NN cord-018142-xt71w4nr 111 16 at at IN cord-018142-xt71w4nr 111 17 the the DT cord-018142-xt71w4nr 111 18 time time NN cord-018142-xt71w4nr 111 19 of of IN cord-018142-xt71w4nr 111 20 diagnosis diagnosis NN cord-018142-xt71w4nr 111 21 . . . cord-018142-xt71w4nr 112 1 This this DT cord-018142-xt71w4nr 112 2 hypertension hypertension NN cord-018142-xt71w4nr 112 3 is be VBZ cord-018142-xt71w4nr 112 4 more more RBR cord-018142-xt71w4nr 112 5 severe severe JJ cord-018142-xt71w4nr 112 6 and and CC cord-018142-xt71w4nr 112 7 more more RBR cord-018142-xt71w4nr 112 8 frequent frequent JJ cord-018142-xt71w4nr 112 9 than than IN cord-018142-xt71w4nr 112 10 during during IN cord-018142-xt71w4nr 112 11 TTP TTP NNP cord-018142-xt71w4nr 112 12 , , , cord-018142-xt71w4nr 112 13 while while IN cord-018142-xt71w4nr 112 14 neurological neurological JJ cord-018142-xt71w4nr 112 15 signs sign NNS cord-018142-xt71w4nr 112 16 are be VBP cord-018142-xt71w4nr 112 17 less less RBR cord-018142-xt71w4nr 112 18 frequent frequent JJ cord-018142-xt71w4nr 112 19 than than IN cord-018142-xt71w4nr 112 20 during during IN cord-018142-xt71w4nr 112 21 TTP TTP NNP cord-018142-xt71w4nr 112 22 . . . cord-018142-xt71w4nr 113 1 Anemia anemia NN cord-018142-xt71w4nr 113 2 and and CC cord-018142-xt71w4nr 113 3 thrombocytopenia thrombocytopenia NN cord-018142-xt71w4nr 113 4 have have VBP cord-018142-xt71w4nr 113 5 similar similar JJ cord-018142-xt71w4nr 113 6 characteristics characteristic NNS cord-018142-xt71w4nr 113 7 to to IN cord-018142-xt71w4nr 113 8 those those DT cord-018142-xt71w4nr 113 9 of of IN cord-018142-xt71w4nr 113 10 TTP TTP NNP cord-018142-xt71w4nr 113 11 ( ( -LRB- cord-018142-xt71w4nr 113 12 see see VB cord-018142-xt71w4nr 113 13 above above RB cord-018142-xt71w4nr 113 14 ) ) -RRB- cord-018142-xt71w4nr 113 15 . . . cord-018142-xt71w4nr 114 1 Thrombocytopenia Thrombocytopenia NNP cord-018142-xt71w4nr 114 2 can can MD cord-018142-xt71w4nr 114 3 be be VB cord-018142-xt71w4nr 114 4 more more RBR cord-018142-xt71w4nr 114 5 severe severe JJ cord-018142-xt71w4nr 114 6 than than IN cord-018142-xt71w4nr 114 7 during during IN cord-018142-xt71w4nr 114 8 TTP TTP NNP cord-018142-xt71w4nr 114 9 . . . cord-018142-xt71w4nr 115 1 Clotting clotting NN cord-018142-xt71w4nr 115 2 abnormalities abnormality NNS cord-018142-xt71w4nr 115 3 may may MD cord-018142-xt71w4nr 115 4 be be VB cord-018142-xt71w4nr 115 5 observed observe VBN cord-018142-xt71w4nr 115 6 : : : cord-018142-xt71w4nr 115 7 slight slight JJ cord-018142-xt71w4nr 115 8 reduction reduction NN cord-018142-xt71w4nr 115 9 of of IN cord-018142-xt71w4nr 115 10 fibrinogen fibrinogen NN cord-018142-xt71w4nr 115 11 and and CC cord-018142-xt71w4nr 115 12 clotting clotting NN cord-018142-xt71w4nr 115 13 factors factor NNS cord-018142-xt71w4nr 115 14 V v NN cord-018142-xt71w4nr 115 15 and and CC cord-018142-xt71w4nr 115 16 VII vii NN cord-018142-xt71w4nr 115 17 . . . cord-018142-xt71w4nr 116 1 Elevation elevation NN cord-018142-xt71w4nr 116 2 of of IN cord-018142-xt71w4nr 116 3 fibrin fibrin NN cord-018142-xt71w4nr 116 4 degradation degradation NN cord-018142-xt71w4nr 116 5 products product NNS cord-018142-xt71w4nr 116 6 , , , cord-018142-xt71w4nr 116 7 tissue tissue NN cord-018142-xt71w4nr 116 8 plasminogen plasminogen NN cord-018142-xt71w4nr 116 9 activator activator NN cord-018142-xt71w4nr 116 10 and and CC cord-018142-xt71w4nr 116 11 PAI PAI NNP cord-018142-xt71w4nr 116 12 reflect reflect VBP cord-018142-xt71w4nr 116 13 activation activation NN cord-018142-xt71w4nr 116 14 of of IN cord-018142-xt71w4nr 116 15 homeostasis homeostasis NN cord-018142-xt71w4nr 116 16 by by IN cord-018142-xt71w4nr 116 17 tissue tissue NN cord-018142-xt71w4nr 116 18 factor factor NN cord-018142-xt71w4nr 116 19 in in IN cord-018142-xt71w4nr 116 20 the the DT cord-018142-xt71w4nr 116 21 kidney kidney NN cord-018142-xt71w4nr 116 22 . . . cord-018142-xt71w4nr 117 1 Kidney kidney NN cord-018142-xt71w4nr 117 2 needle needle NN cord-018142-xt71w4nr 117 3 biopsy biopsy NN cord-018142-xt71w4nr 117 4 is be VBZ cord-018142-xt71w4nr 117 5 only only RB cord-018142-xt71w4nr 117 6 performed perform VBN cord-018142-xt71w4nr 117 7 when when WRB cord-018142-xt71w4nr 117 8 there there EX cord-018142-xt71w4nr 117 9 is be VBZ cord-018142-xt71w4nr 117 10 a a DT cord-018142-xt71w4nr 117 11 doubt doubt NN cord-018142-xt71w4nr 117 12 about about IN cord-018142-xt71w4nr 117 13 the the DT cord-018142-xt71w4nr 117 14 diagnosis diagnosis NN cord-018142-xt71w4nr 117 15 or or CC cord-018142-xt71w4nr 117 16 in in IN cord-018142-xt71w4nr 117 17 the the DT cord-018142-xt71w4nr 117 18 case case NN cord-018142-xt71w4nr 117 19 of of IN cord-018142-xt71w4nr 117 20 persistent persistent JJ cord-018142-xt71w4nr 117 21 renal renal JJ cord-018142-xt71w4nr 117 22 failure failure NN cord-018142-xt71w4nr 117 23 [ [ -LRB- cord-018142-xt71w4nr 117 24 30 30 CD cord-018142-xt71w4nr 117 25 ] ] -RRB- cord-018142-xt71w4nr 117 26 . . . cord-018142-xt71w4nr 118 1 Epidemic epidemic NN cord-018142-xt71w4nr 118 2 ( ( -LRB- cord-018142-xt71w4nr 118 3 post post JJ cord-018142-xt71w4nr 118 4 - - JJ cord-018142-xt71w4nr 118 5 diarrheal diarrheal JJ cord-018142-xt71w4nr 118 6 ) ) -RRB- cord-018142-xt71w4nr 118 7 HUS HUS NNP cord-018142-xt71w4nr 118 8 . . . cord-018142-xt71w4nr 119 1 Post post JJ cord-018142-xt71w4nr 119 2 - - JJ cord-018142-xt71w4nr 119 3 diarrheal diarrheal JJ cord-018142-xt71w4nr 119 4 HUS HUS NNP cord-018142-xt71w4nr 119 5 has have VBZ cord-018142-xt71w4nr 119 6 a a DT cord-018142-xt71w4nr 119 7 sudden sudden JJ cord-018142-xt71w4nr 119 8 onset onset NN cord-018142-xt71w4nr 119 9 in in IN cord-018142-xt71w4nr 119 10 90 90 CD cord-018142-xt71w4nr 119 11 % % NN cord-018142-xt71w4nr 119 12 of of IN cord-018142-xt71w4nr 119 13 cases case NNS cord-018142-xt71w4nr 119 14 , , , cord-018142-xt71w4nr 119 15 presenting present VBG cord-018142-xt71w4nr 119 16 with with IN cord-018142-xt71w4nr 119 17 diarrhea diarrhea NN cord-018142-xt71w4nr 119 18 ( ( -LRB- cord-018142-xt71w4nr 119 19 bloody bloody JJ cord-018142-xt71w4nr 119 20 in in IN cord-018142-xt71w4nr 119 21 70 70 CD cord-018142-xt71w4nr 119 22 % % NN cord-018142-xt71w4nr 119 23 of of IN cord-018142-xt71w4nr 119 24 cases case NNS cord-018142-xt71w4nr 119 25 and and CC cord-018142-xt71w4nr 119 26 febrile febrile JJ cord-018142-xt71w4nr 119 27 in in IN cord-018142-xt71w4nr 119 28 50 50 CD cord-018142-xt71w4nr 119 29 % % NN cord-018142-xt71w4nr 119 30 of of IN cord-018142-xt71w4nr 119 31 cases case NNS cord-018142-xt71w4nr 119 32 ) ) -RRB- cord-018142-xt71w4nr 119 33 . . . cord-018142-xt71w4nr 120 1 It -PRON- PRP cord-018142-xt71w4nr 120 2 is be VBZ cord-018142-xt71w4nr 120 3 essentially essentially RB cord-018142-xt71w4nr 120 4 observed observe VBN cord-018142-xt71w4nr 120 5 in in IN cord-018142-xt71w4nr 120 6 children child NNS cord-018142-xt71w4nr 120 7 , , , cord-018142-xt71w4nr 120 8 but but CC cord-018142-xt71w4nr 120 9 also also RB cord-018142-xt71w4nr 120 10 in in IN cord-018142-xt71w4nr 120 11 adults adult NNS cord-018142-xt71w4nr 120 12 . . . cord-018142-xt71w4nr 121 1 The the DT cord-018142-xt71w4nr 121 2 renal renal JJ cord-018142-xt71w4nr 121 3 lesion lesion NN cord-018142-xt71w4nr 121 4 appears appear VBZ cord-018142-xt71w4nr 121 5 one one CD cord-018142-xt71w4nr 121 6 week week NN cord-018142-xt71w4nr 121 7 after after IN cord-018142-xt71w4nr 121 8 onset onset NN cord-018142-xt71w4nr 121 9 of of IN cord-018142-xt71w4nr 121 10 the the DT cord-018142-xt71w4nr 121 11 diarrhea diarrhea NN cord-018142-xt71w4nr 121 12 ( ( -LRB- cord-018142-xt71w4nr 121 13 which which WDT cord-018142-xt71w4nr 121 14 has have VBZ cord-018142-xt71w4nr 121 15 resolved resolve VBN cord-018142-xt71w4nr 121 16 at at IN cord-018142-xt71w4nr 121 17 the the DT cord-018142-xt71w4nr 121 18 time time NN cord-018142-xt71w4nr 121 19 of of IN cord-018142-xt71w4nr 121 20 diagnosis diagnosis NN cord-018142-xt71w4nr 121 21 in in IN cord-018142-xt71w4nr 121 22 50 50 CD cord-018142-xt71w4nr 121 23 % % NN cord-018142-xt71w4nr 121 24 of of IN cord-018142-xt71w4nr 121 25 cases case NNS cord-018142-xt71w4nr 121 26 ) ) -RRB- cord-018142-xt71w4nr 121 27 . . . cord-018142-xt71w4nr 122 1 Clinical clinical JJ cord-018142-xt71w4nr 122 2 manifestations manifestation NNS cord-018142-xt71w4nr 122 3 are be VBP cord-018142-xt71w4nr 122 4 dominated dominate VBN cord-018142-xt71w4nr 122 5 by by IN cord-018142-xt71w4nr 122 6 renal renal JJ cord-018142-xt71w4nr 122 7 failure failure NN cord-018142-xt71w4nr 122 8 with with IN cord-018142-xt71w4nr 122 9 severe severe JJ cord-018142-xt71w4nr 122 10 proteinuria proteinuria NN cord-018142-xt71w4nr 122 11 and and CC cord-018142-xt71w4nr 122 12 hematuria hematuria NN cord-018142-xt71w4nr 122 13 ( ( -LRB- cord-018142-xt71w4nr 122 14 microscopic microscopic JJ cord-018142-xt71w4nr 122 15 or or CC cord-018142-xt71w4nr 122 16 macroscopic macroscopic JJ cord-018142-xt71w4nr 122 17 ) ) -RRB- cord-018142-xt71w4nr 122 18 . . . cord-018142-xt71w4nr 123 1 Fifty fifty CD cord-018142-xt71w4nr 123 2 percent percent NN cord-018142-xt71w4nr 123 3 of of IN cord-018142-xt71w4nr 123 4 children child NNS cord-018142-xt71w4nr 123 5 are be VBP cord-018142-xt71w4nr 123 6 anuric anuric RB cord-018142-xt71w4nr 123 7 at at IN cord-018142-xt71w4nr 123 8 the the DT cord-018142-xt71w4nr 123 9 time time NN cord-018142-xt71w4nr 123 10 of of IN cord-018142-xt71w4nr 123 11 diagnosis diagnosis NN cord-018142-xt71w4nr 123 12 . . . cord-018142-xt71w4nr 124 1 One one CD cord-018142-xt71w4nr 124 2 half half NN cord-018142-xt71w4nr 124 3 of of IN cord-018142-xt71w4nr 124 4 patients patient NNS cord-018142-xt71w4nr 124 5 with with IN cord-018142-xt71w4nr 124 6 renal renal JJ cord-018142-xt71w4nr 124 7 failure failure NN cord-018142-xt71w4nr 124 8 will will MD cord-018142-xt71w4nr 124 9 require require VB cord-018142-xt71w4nr 124 10 dialysis dialysis NN cord-018142-xt71w4nr 124 11 . . . cord-018142-xt71w4nr 125 1 Severe severe JJ cord-018142-xt71w4nr 125 2 hypertension hypertension NN cord-018142-xt71w4nr 125 3 is be VBZ cord-018142-xt71w4nr 125 4 often often RB cord-018142-xt71w4nr 125 5 associated associate VBN cord-018142-xt71w4nr 125 6 with with IN cord-018142-xt71w4nr 125 7 marked marked JJ cord-018142-xt71w4nr 125 8 hyponatremia hyponatremia NN cord-018142-xt71w4nr 125 9 . . . cord-018142-xt71w4nr 126 1 Central central JJ cord-018142-xt71w4nr 126 2 nervous nervous JJ cord-018142-xt71w4nr 126 3 system system NN cord-018142-xt71w4nr 126 4 signs sign NNS cord-018142-xt71w4nr 126 5 are be VBP cord-018142-xt71w4nr 126 6 present present JJ cord-018142-xt71w4nr 126 7 in in IN cord-018142-xt71w4nr 126 8 10 10 CD cord-018142-xt71w4nr 126 9 to to TO cord-018142-xt71w4nr 126 10 30 30 CD cord-018142-xt71w4nr 126 11 % % NN cord-018142-xt71w4nr 126 12 of of IN cord-018142-xt71w4nr 126 13 cases case NNS cord-018142-xt71w4nr 126 14 , , , cord-018142-xt71w4nr 126 15 often often RB cord-018142-xt71w4nr 126 16 accentuated accentuate VBN cord-018142-xt71w4nr 126 17 by by IN cord-018142-xt71w4nr 126 18 hyponatremia hyponatremia NN cord-018142-xt71w4nr 126 19 , , , cord-018142-xt71w4nr 126 20 consisting consist VBG cord-018142-xt71w4nr 126 21 of of IN cord-018142-xt71w4nr 126 22 irritability irritability NN cord-018142-xt71w4nr 126 23 , , , cord-018142-xt71w4nr 126 24 drowsiness drowsiness NN cord-018142-xt71w4nr 126 25 , , , cord-018142-xt71w4nr 126 26 convulsions convulsion NNS cord-018142-xt71w4nr 126 27 or or CC cord-018142-xt71w4nr 126 28 even even RB cord-018142-xt71w4nr 126 29 coma coma NN cord-018142-xt71w4nr 126 30 . . . cord-018142-xt71w4nr 127 1 The the DT cord-018142-xt71w4nr 127 2 microorganism microorganism NN cord-018142-xt71w4nr 127 3 responsible responsible JJ cord-018142-xt71w4nr 127 4 is be VBZ cord-018142-xt71w4nr 127 5 often often RB cord-018142-xt71w4nr 127 6 no no RB cord-018142-xt71w4nr 127 7 longer long RBR cord-018142-xt71w4nr 127 8 present present JJ cord-018142-xt71w4nr 127 9 in in IN cord-018142-xt71w4nr 127 10 the the DT cord-018142-xt71w4nr 127 11 stools stool NNS cord-018142-xt71w4nr 127 12 at at IN cord-018142-xt71w4nr 127 13 the the DT cord-018142-xt71w4nr 127 14 time time NN cord-018142-xt71w4nr 127 15 of of IN cord-018142-xt71w4nr 127 16 the the DT cord-018142-xt71w4nr 127 17 diagnosis diagnosis NN cord-018142-xt71w4nr 127 18 of of IN cord-018142-xt71w4nr 127 19 HUS HUS NNP cord-018142-xt71w4nr 127 20 , , , cord-018142-xt71w4nr 127 21 but but CC cord-018142-xt71w4nr 127 22 the the DT cord-018142-xt71w4nr 127 23 toxin toxin NN cord-018142-xt71w4nr 127 24 can can MD cord-018142-xt71w4nr 127 25 be be VB cord-018142-xt71w4nr 127 26 isolated isolate VBN cord-018142-xt71w4nr 127 27 in in IN cord-018142-xt71w4nr 127 28 two two CD cord-018142-xt71w4nr 127 29 thirds third NNS cord-018142-xt71w4nr 127 30 of of IN cord-018142-xt71w4nr 127 31 cases case NNS cord-018142-xt71w4nr 127 32 . . . cord-018142-xt71w4nr 128 1 The the DT cord-018142-xt71w4nr 128 2 clinical clinical JJ cord-018142-xt71w4nr 128 3 and and CC cord-018142-xt71w4nr 128 4 laboratory laboratory NN cord-018142-xt71w4nr 128 5 diagnosis diagnosis NN cord-018142-xt71w4nr 128 6 of of IN cord-018142-xt71w4nr 128 7 HUS HUS NNP cord-018142-xt71w4nr 128 8 is be VBZ cord-018142-xt71w4nr 128 9 usually usually RB cord-018142-xt71w4nr 128 10 easy easy JJ cord-018142-xt71w4nr 128 11 to to TO cord-018142-xt71w4nr 128 12 establish establish VB cord-018142-xt71w4nr 128 13 and and CC cord-018142-xt71w4nr 128 14 kidney kidney NN cord-018142-xt71w4nr 128 15 needle needle NN cord-018142-xt71w4nr 128 16 biopsy biopsy NN cord-018142-xt71w4nr 128 17 is be VBZ cord-018142-xt71w4nr 128 18 rarely rarely RB cord-018142-xt71w4nr 128 19 necessary necessary JJ cord-018142-xt71w4nr 128 20 . . . cord-018142-xt71w4nr 129 1 Atypical atypical JJ cord-018142-xt71w4nr 129 2 HUS hus NN cord-018142-xt71w4nr 129 3 . . . cord-018142-xt71w4nr 130 1 The the DT cord-018142-xt71w4nr 130 2 clinical clinical JJ cord-018142-xt71w4nr 130 3 features feature NNS cord-018142-xt71w4nr 130 4 are be VBP cord-018142-xt71w4nr 130 5 often often RB cord-018142-xt71w4nr 130 6 less less RBR cord-018142-xt71w4nr 130 7 typical typical JJ cord-018142-xt71w4nr 130 8 , , , cord-018142-xt71w4nr 130 9 and and CC cord-018142-xt71w4nr 130 10 kidney kidney NN cord-018142-xt71w4nr 130 11 needle needle NN cord-018142-xt71w4nr 130 12 biopsy biopsy NN cord-018142-xt71w4nr 130 13 is be VBZ cord-018142-xt71w4nr 130 14 more more RBR cord-018142-xt71w4nr 130 15 often often RB cord-018142-xt71w4nr 130 16 required require VBN cord-018142-xt71w4nr 130 17 to to TO cord-018142-xt71w4nr 130 18 establish establish VB cord-018142-xt71w4nr 130 19 the the DT cord-018142-xt71w4nr 130 20 diagnosis diagnosis NN cord-018142-xt71w4nr 130 21 . . . cord-018142-xt71w4nr 131 1 Acute acute JJ cord-018142-xt71w4nr 131 2 renal renal JJ cord-018142-xt71w4nr 131 3 failure failure NN cord-018142-xt71w4nr 131 4 is be VBZ cord-018142-xt71w4nr 131 5 often often RB cord-018142-xt71w4nr 131 6 anuric anuric JJ cord-018142-xt71w4nr 131 7 with with IN cord-018142-xt71w4nr 131 8 moderate moderate JJ cord-018142-xt71w4nr 131 9 proteinuria proteinuria NN cord-018142-xt71w4nr 131 10 ( ( -LRB- cord-018142-xt71w4nr 131 11 1 1 CD cord-018142-xt71w4nr 131 12 to to IN cord-018142-xt71w4nr 131 13 2 2 CD cord-018142-xt71w4nr 131 14 g/24 g/24 NN cord-018142-xt71w4nr 131 15 h h NN cord-018142-xt71w4nr 131 16 ) ) -RRB- cord-018142-xt71w4nr 131 17 , , , cord-018142-xt71w4nr 131 18 but but CC cord-018142-xt71w4nr 131 19 proteinuria proteinuria NN cord-018142-xt71w4nr 131 20 may may MD cord-018142-xt71w4nr 131 21 also also RB cord-018142-xt71w4nr 131 22 exceed exceed VB cord-018142-xt71w4nr 131 23 3 3 CD cord-018142-xt71w4nr 131 24 g/24h g/24h NNP cord-018142-xt71w4nr 131 25 . . . cord-018142-xt71w4nr 132 1 Microscopic microscopic JJ cord-018142-xt71w4nr 132 2 hematuria hematuria NN cord-018142-xt71w4nr 132 3 is be VBZ cord-018142-xt71w4nr 132 4 frequent frequent JJ cord-018142-xt71w4nr 132 5 and and CC cord-018142-xt71w4nr 132 6 hypertension hypertension NN cord-018142-xt71w4nr 132 7 is be VBZ cord-018142-xt71w4nr 132 8 present present JJ cord-018142-xt71w4nr 132 9 in in IN cord-018142-xt71w4nr 132 10 50 50 CD cord-018142-xt71w4nr 132 11 % % NN cord-018142-xt71w4nr 132 12 of of IN cord-018142-xt71w4nr 132 13 cases case NNS cord-018142-xt71w4nr 132 14 at at IN cord-018142-xt71w4nr 132 15 diagnosis diagnosis NN cord-018142-xt71w4nr 132 16 . . . cord-018142-xt71w4nr 133 1 Thrombocytopenia Thrombocytopenia NNP cord-018142-xt71w4nr 133 2 is be VBZ cord-018142-xt71w4nr 133 3 present present JJ cord-018142-xt71w4nr 133 4 in in IN cord-018142-xt71w4nr 133 5 only only RB cord-018142-xt71w4nr 133 6 50 50 CD cord-018142-xt71w4nr 133 7 % % NN cord-018142-xt71w4nr 133 8 of of IN cord-018142-xt71w4nr 133 9 cases case NNS cord-018142-xt71w4nr 133 10 at at IN cord-018142-xt71w4nr 133 11 diagnosis diagnosis NN cord-018142-xt71w4nr 133 12 . . . cord-018142-xt71w4nr 134 1 There there EX cord-018142-xt71w4nr 134 2 are be VBP cord-018142-xt71w4nr 134 3 few few JJ cord-018142-xt71w4nr 134 4 or or CC cord-018142-xt71w4nr 134 5 no no DT cord-018142-xt71w4nr 134 6 extra extra JJ cord-018142-xt71w4nr 134 7 - - JJ cord-018142-xt71w4nr 134 8 renal renal JJ cord-018142-xt71w4nr 134 9 signs sign NNS cord-018142-xt71w4nr 134 10 ( ( -LRB- cord-018142-xt71w4nr 134 11 fever fever NN cord-018142-xt71w4nr 134 12 , , , cord-018142-xt71w4nr 134 13 neurological neurological JJ cord-018142-xt71w4nr 134 14 signs sign NNS cord-018142-xt71w4nr 134 15 ) ) -RRB- cord-018142-xt71w4nr 134 16 . . . cord-018142-xt71w4nr 135 1 A a DT cord-018142-xt71w4nr 135 2 history history NN cord-018142-xt71w4nr 135 3 of of IN cord-018142-xt71w4nr 135 4 infection infection NN cord-018142-xt71w4nr 135 5 is be VBZ cord-018142-xt71w4nr 135 6 frequently frequently RB cord-018142-xt71w4nr 135 7 reported report VBN cord-018142-xt71w4nr 135 8 . . . cord-018142-xt71w4nr 136 1 Adults adult NNS cord-018142-xt71w4nr 136 2 sometimes sometimes RB cord-018142-xt71w4nr 136 3 present present VBP cord-018142-xt71w4nr 136 4 a a DT cord-018142-xt71w4nr 136 5 context context NN cord-018142-xt71w4nr 136 6 of of IN cord-018142-xt71w4nr 136 7 auto auto NN cord-018142-xt71w4nr 136 8 - - HYPH cord-018142-xt71w4nr 136 9 immune immune JJ cord-018142-xt71w4nr 136 10 disease disease NN cord-018142-xt71w4nr 136 11 , , , cord-018142-xt71w4nr 136 12 drugs drug NNS cord-018142-xt71w4nr 136 13 or or CC cord-018142-xt71w4nr 136 14 pregnancy pregnancy NN cord-018142-xt71w4nr 136 15 . . . cord-018142-xt71w4nr 137 1 The the DT cord-018142-xt71w4nr 137 2 assessment assessment NN cord-018142-xt71w4nr 137 3 of of IN cord-018142-xt71w4nr 137 4 atypical atypical JJ cord-018142-xt71w4nr 137 5 HUS HUS NNP cord-018142-xt71w4nr 137 6 must must MD cord-018142-xt71w4nr 137 7 include include VB cord-018142-xt71w4nr 137 8 assays assay NNS cord-018142-xt71w4nr 137 9 of of IN cord-018142-xt71w4nr 137 10 complement complement JJ cord-018142-xt71w4nr 137 11 fractions fraction NNS cord-018142-xt71w4nr 137 12 ( ( -LRB- cord-018142-xt71w4nr 137 13 C3 C3 NNP cord-018142-xt71w4nr 137 14 , , , cord-018142-xt71w4nr 137 15 C4 C4 NNP cord-018142-xt71w4nr 137 16 , , , cord-018142-xt71w4nr 137 17 CH50 CH50 NNP cord-018142-xt71w4nr 137 18 ) ) -RRB- cord-018142-xt71w4nr 137 19 , , , cord-018142-xt71w4nr 137 20 and and CC cord-018142-xt71w4nr 137 21 the the DT cord-018142-xt71w4nr 137 22 activity activity NN cord-018142-xt71w4nr 137 23 of of IN cord-018142-xt71w4nr 137 24 the the DT cord-018142-xt71w4nr 137 25 ADAMTS-13 ADAMTS-13 NNP cord-018142-xt71w4nr 137 26 protein protein NN cord-018142-xt71w4nr 137 27 and and CC cord-018142-xt71w4nr 137 28 the the DT cord-018142-xt71w4nr 137 29 inhibitory inhibitory JJ cord-018142-xt71w4nr 137 30 protein protein NN cord-018142-xt71w4nr 137 31 of of IN cord-018142-xt71w4nr 137 32 the the DT cord-018142-xt71w4nr 137 33 alternative alternative JJ cord-018142-xt71w4nr 137 34 complement complement NN cord-018142-xt71w4nr 137 35 pathway pathway NN cord-018142-xt71w4nr 137 36 ( ( -LRB- cord-018142-xt71w4nr 137 37 and and CC cord-018142-xt71w4nr 137 38 a a DT cord-018142-xt71w4nr 137 39 test test NN cord-018142-xt71w4nr 137 40 for for IN cord-018142-xt71w4nr 137 41 a a DT cord-018142-xt71w4nr 137 42 mutation mutation NN cord-018142-xt71w4nr 137 43 of of IN cord-018142-xt71w4nr 137 44 the the DT cord-018142-xt71w4nr 137 45 corresponding correspond VBG cord-018142-xt71w4nr 137 46 gene gene NN cord-018142-xt71w4nr 137 47 ) ) -RRB- cord-018142-xt71w4nr 137 48 . . . cord-018142-xt71w4nr 138 1 The the DT cord-018142-xt71w4nr 138 2 clinical clinical JJ cord-018142-xt71w4nr 138 3 features feature NNS cord-018142-xt71w4nr 138 4 of of IN cord-018142-xt71w4nr 138 5 HUS HUS NNP cord-018142-xt71w4nr 138 6 and and CC cord-018142-xt71w4nr 138 7 TTP TTP NNP cord-018142-xt71w4nr 138 8 tend tend VBP cord-018142-xt71w4nr 138 9 to to TO cord-018142-xt71w4nr 138 10 overlap overlap VB cord-018142-xt71w4nr 138 11 and and CC cord-018142-xt71w4nr 138 12 it -PRON- PRP cord-018142-xt71w4nr 138 13 can can MD cord-018142-xt71w4nr 138 14 be be VB cord-018142-xt71w4nr 138 15 difficult difficult JJ cord-018142-xt71w4nr 138 16 , , , cord-018142-xt71w4nr 138 17 on on IN cord-018142-xt71w4nr 138 18 admission admission NN cord-018142-xt71w4nr 138 19 , , , cord-018142-xt71w4nr 138 20 to to TO cord-018142-xt71w4nr 138 21 distinguish distinguish VB cord-018142-xt71w4nr 138 22 between between IN cord-018142-xt71w4nr 138 23 these these DT cord-018142-xt71w4nr 138 24 two two CD cord-018142-xt71w4nr 138 25 diagnoses diagnosis NNS cord-018142-xt71w4nr 138 26 . . . cord-018142-xt71w4nr 139 1 The the DT cord-018142-xt71w4nr 139 2 neurological neurological JJ cord-018142-xt71w4nr 139 3 signs sign NNS cord-018142-xt71w4nr 139 4 are be VBP cord-018142-xt71w4nr 139 5 variable variable JJ cord-018142-xt71w4nr 139 6 , , , cord-018142-xt71w4nr 139 7 ranging range VBG cord-018142-xt71w4nr 139 8 from from IN cord-018142-xt71w4nr 139 9 simple simple JJ cord-018142-xt71w4nr 139 10 confusion confusion NN cord-018142-xt71w4nr 139 11 to to IN cord-018142-xt71w4nr 139 12 coma coma NN cord-018142-xt71w4nr 139 13 with with IN cord-018142-xt71w4nr 139 14 generalized generalized JJ cord-018142-xt71w4nr 139 15 convulsions convulsion NNS cord-018142-xt71w4nr 139 16 and and CC cord-018142-xt71w4nr 139 17 focal focal JJ cord-018142-xt71w4nr 139 18 deficits deficit NNS cord-018142-xt71w4nr 139 19 , , , cord-018142-xt71w4nr 139 20 aphasia aphasia NN cord-018142-xt71w4nr 139 21 , , , cord-018142-xt71w4nr 139 22 diplopia diplopia NN cord-018142-xt71w4nr 139 23 , , , cord-018142-xt71w4nr 139 24 facial facial JJ cord-018142-xt71w4nr 139 25 paralysis paralysis NN cord-018142-xt71w4nr 139 26 , , , cord-018142-xt71w4nr 139 27 etc etc FW cord-018142-xt71w4nr 139 28 . . . cord-018142-xt71w4nr 140 1 Renal renal JJ cord-018142-xt71w4nr 140 2 involvement involvement NN cord-018142-xt71w4nr 140 3 is be VBZ cord-018142-xt71w4nr 140 4 also also RB cord-018142-xt71w4nr 140 5 heterogeneous heterogeneous JJ cord-018142-xt71w4nr 140 6 , , , cord-018142-xt71w4nr 140 7 ranging range VBG cord-018142-xt71w4nr 140 8 from from IN cord-018142-xt71w4nr 140 9 normal normal JJ cord-018142-xt71w4nr 140 10 renal renal JJ cord-018142-xt71w4nr 140 11 function function NN cord-018142-xt71w4nr 140 12 to to TO cord-018142-xt71w4nr 140 13 anuric anuric VB cord-018142-xt71w4nr 140 14 acute acute JJ cord-018142-xt71w4nr 140 15 renal renal JJ cord-018142-xt71w4nr 140 16 failure failure NN cord-018142-xt71w4nr 140 17 . . . cord-018142-xt71w4nr 141 1 Laboratory laboratory NN cord-018142-xt71w4nr 141 2 test test NN cord-018142-xt71w4nr 141 3 results result NNS cord-018142-xt71w4nr 141 4 can can MD cord-018142-xt71w4nr 141 5 confirm confirm VB cord-018142-xt71w4nr 141 6 the the DT cord-018142-xt71w4nr 141 7 diagnosis diagnosis NN cord-018142-xt71w4nr 141 8 , , , cord-018142-xt71w4nr 141 9 but but CC cord-018142-xt71w4nr 141 10 often often RB cord-018142-xt71w4nr 141 11 only only RB cord-018142-xt71w4nr 141 12 retrospectively retrospectively RB cord-018142-xt71w4nr 141 13 . . . cord-018142-xt71w4nr 142 1 The the DT cord-018142-xt71w4nr 142 2 prognosis prognosis NN cord-018142-xt71w4nr 142 3 of of IN cord-018142-xt71w4nr 142 4 TMA TMA NNP cord-018142-xt71w4nr 142 5 prior prior RB cord-018142-xt71w4nr 142 6 to to IN cord-018142-xt71w4nr 142 7 plasma plasma NN cord-018142-xt71w4nr 142 8 therapy therapy NN cord-018142-xt71w4nr 142 9 in in IN cord-018142-xt71w4nr 142 10 the the DT cord-018142-xt71w4nr 142 11 ICU ICU NNP cord-018142-xt71w4nr 142 12 was be VBD cord-018142-xt71w4nr 142 13 extremely extremely RB cord-018142-xt71w4nr 142 14 poor poor JJ cord-018142-xt71w4nr 142 15 . . . cord-018142-xt71w4nr 143 1 Plasma plasma NN cord-018142-xt71w4nr 143 2 therapy therapy NN cord-018142-xt71w4nr 143 3 has have VBZ cord-018142-xt71w4nr 143 4 considerably considerably RB cord-018142-xt71w4nr 143 5 improved improve VBN cord-018142-xt71w4nr 143 6 the the DT cord-018142-xt71w4nr 143 7 prognosis prognosis NN cord-018142-xt71w4nr 143 8 of of IN cord-018142-xt71w4nr 143 9 these these DT cord-018142-xt71w4nr 143 10 usually usually RB cord-018142-xt71w4nr 143 11 fatal fatal JJ cord-018142-xt71w4nr 143 12 diseases disease NNS cord-018142-xt71w4nr 143 13 ( ( -LRB- cord-018142-xt71w4nr 143 14 3-month 3-month CD cord-018142-xt71w4nr 143 15 mortality mortality NN cord-018142-xt71w4nr 143 16 greater great JJR cord-018142-xt71w4nr 143 17 than than IN cord-018142-xt71w4nr 143 18 90 90 CD cord-018142-xt71w4nr 143 19 % % NN cord-018142-xt71w4nr 143 20 for for IN cord-018142-xt71w4nr 143 21 acute acute JJ cord-018142-xt71w4nr 143 22 forms form NNS cord-018142-xt71w4nr 143 23 of of IN cord-018142-xt71w4nr 143 24 TTP ttp NN cord-018142-xt71w4nr 143 25 without without IN cord-018142-xt71w4nr 143 26 treatment treatment NN cord-018142-xt71w4nr 143 27 ) ) -RRB- cord-018142-xt71w4nr 143 28 [ [ -LRB- cord-018142-xt71w4nr 143 29 27 27 CD cord-018142-xt71w4nr 143 30 ] ] -RRB- cord-018142-xt71w4nr 143 31 . . . cord-018142-xt71w4nr 144 1 In in IN cord-018142-xt71w4nr 144 2 a a DT cord-018142-xt71w4nr 144 3 recent recent JJ cord-018142-xt71w4nr 144 4 retrospective retrospective JJ cord-018142-xt71w4nr 144 5 study study NN cord-018142-xt71w4nr 144 6 of of IN cord-018142-xt71w4nr 144 7 64 64 CD cord-018142-xt71w4nr 144 8 patients patient NNS cord-018142-xt71w4nr 144 9 admitted admit VBN cord-018142-xt71w4nr 144 10 to to IN cord-018142-xt71w4nr 144 11 the the DT cord-018142-xt71w4nr 144 12 adult adult NN cord-018142-xt71w4nr 144 13 ICU ICU NNP cord-018142-xt71w4nr 144 14 for for IN cord-018142-xt71w4nr 144 15 TMA TMA NNP cord-018142-xt71w4nr 144 16 , , , cord-018142-xt71w4nr 144 17 the the DT cord-018142-xt71w4nr 144 18 mortality mortality NN cord-018142-xt71w4nr 144 19 rate rate NN cord-018142-xt71w4nr 144 20 was be VBD cord-018142-xt71w4nr 144 21 35 35 CD cord-018142-xt71w4nr 144 22 % % NN cord-018142-xt71w4nr 144 23 [ [ -LRB- cord-018142-xt71w4nr 144 24 11 11 CD cord-018142-xt71w4nr 144 25 ] ] -RRB- cord-018142-xt71w4nr 144 26 and and CC cord-018142-xt71w4nr 144 27 Coppo Coppo NNP cord-018142-xt71w4nr 144 28 et et NNP cord-018142-xt71w4nr 144 29 al al NNP cord-018142-xt71w4nr 144 30 . . . cord-018142-xt71w4nr 145 1 reported report VBD cord-018142-xt71w4nr 145 2 a a DT cord-018142-xt71w4nr 145 3 mortality mortality NN cord-018142-xt71w4nr 145 4 rate rate NN cord-018142-xt71w4nr 145 5 of of IN cord-018142-xt71w4nr 145 6 25 25 CD cord-018142-xt71w4nr 145 7 % % NN cord-018142-xt71w4nr 145 8 in in IN cord-018142-xt71w4nr 145 9 intensive intensive JJ cord-018142-xt71w4nr 145 10 care care NN cord-018142-xt71w4nr 145 11 patients patient NNS cord-018142-xt71w4nr 145 12 with with IN cord-018142-xt71w4nr 145 13 TMA TMA NNP cord-018142-xt71w4nr 145 14 [ [ -LRB- cord-018142-xt71w4nr 145 15 1 1 CD cord-018142-xt71w4nr 145 16 ] ] -RRB- cord-018142-xt71w4nr 145 17 . . . cord-018142-xt71w4nr 146 1 The the DT cord-018142-xt71w4nr 146 2 mortality mortality NN cord-018142-xt71w4nr 146 3 related relate VBN cord-018142-xt71w4nr 146 4 to to IN cord-018142-xt71w4nr 146 5 TMA TMA NNP cord-018142-xt71w4nr 146 6 in in IN cord-018142-xt71w4nr 146 7 intensive intensive JJ cord-018142-xt71w4nr 146 8 care care NN cord-018142-xt71w4nr 146 9 is be VBZ cord-018142-xt71w4nr 146 10 partly partly RB cord-018142-xt71w4nr 146 11 dependent dependent JJ cord-018142-xt71w4nr 146 12 on on IN cord-018142-xt71w4nr 146 13 the the DT cord-018142-xt71w4nr 146 14 treatment treatment NN cord-018142-xt71w4nr 146 15 used use VBN cord-018142-xt71w4nr 146 16 . . . cord-018142-xt71w4nr 147 1 In in IN cord-018142-xt71w4nr 147 2 recent recent JJ cord-018142-xt71w4nr 147 3 studies study NNS cord-018142-xt71w4nr 147 4 [ [ -LRB- cord-018142-xt71w4nr 147 5 31±33 31±33 NNP cord-018142-xt71w4nr 147 6 ] ] -RRB- cord-018142-xt71w4nr 147 7 , , , cord-018142-xt71w4nr 147 8 the the DT cord-018142-xt71w4nr 147 9 survival survival NN cord-018142-xt71w4nr 147 10 rate rate NN cord-018142-xt71w4nr 147 11 of of IN cord-018142-xt71w4nr 147 12 patients patient NNS cord-018142-xt71w4nr 147 13 treated treat VBN cord-018142-xt71w4nr 147 14 with with IN cord-018142-xt71w4nr 147 15 plasma plasma NN cord-018142-xt71w4nr 147 16 exchange exchange NN cord-018142-xt71w4nr 147 17 is be VBZ cord-018142-xt71w4nr 147 18 78 78 CD cord-018142-xt71w4nr 147 19 to to TO cord-018142-xt71w4nr 147 20 90 90 CD cord-018142-xt71w4nr 147 21 % % NN cord-018142-xt71w4nr 147 22 . . . cord-018142-xt71w4nr 148 1 In in IN cord-018142-xt71w4nr 148 2 the the DT cord-018142-xt71w4nr 148 3 study study NN cord-018142-xt71w4nr 148 4 by by IN cord-018142-xt71w4nr 148 5 Pene Pene NNP cord-018142-xt71w4nr 148 6 et et NNP cord-018142-xt71w4nr 148 7 al al NNP cord-018142-xt71w4nr 148 8 . . . cord-018142-xt71w4nr 149 1 [ [ -LRB- cord-018142-xt71w4nr 149 2 11 11 CD cord-018142-xt71w4nr 149 3 ] ] -RRB- cord-018142-xt71w4nr 149 4 , , , cord-018142-xt71w4nr 149 5 the the DT cord-018142-xt71w4nr 149 6 mortality mortality NN cord-018142-xt71w4nr 149 7 at at IN cord-018142-xt71w4nr 149 8 90 90 CD cord-018142-xt71w4nr 149 9 days day NNS cord-018142-xt71w4nr 149 10 was be VBD cord-018142-xt71w4nr 149 11 22 22 CD cord-018142-xt71w4nr 149 12 % % NN cord-018142-xt71w4nr 149 13 when when WRB cord-018142-xt71w4nr 149 14 plasma plasma NN cord-018142-xt71w4nr 149 15 exchange exchange NN cord-018142-xt71w4nr 149 16 was be VBD cord-018142-xt71w4nr 149 17 performed perform VBN cord-018142-xt71w4nr 149 18 and and CC cord-018142-xt71w4nr 149 19 59 59 CD cord-018142-xt71w4nr 149 20 % % NN cord-018142-xt71w4nr 149 21 in in IN cord-018142-xt71w4nr 149 22 the the DT cord-018142-xt71w4nr 149 23 absence absence NN cord-018142-xt71w4nr 149 24 of of IN cord-018142-xt71w4nr 149 25 plasma plasma NN cord-018142-xt71w4nr 149 26 exchange exchange NN cord-018142-xt71w4nr 149 27 . . . cord-018142-xt71w4nr 150 1 The the DT cord-018142-xt71w4nr 150 2 study study NN cord-018142-xt71w4nr 150 3 by by IN cord-018142-xt71w4nr 150 4 Rock Rock NNP cord-018142-xt71w4nr 150 5 et et NNP cord-018142-xt71w4nr 150 6 al al NNP cord-018142-xt71w4nr 150 7 . . . cord-018142-xt71w4nr 151 1 [ [ -LRB- cord-018142-xt71w4nr 151 2 33 33 CD cord-018142-xt71w4nr 151 3 ] ] -RRB- cord-018142-xt71w4nr 151 4 confirmed confirm VBD cord-018142-xt71w4nr 151 5 the the DT cord-018142-xt71w4nr 151 6 superiority superiority NN cord-018142-xt71w4nr 151 7 of of IN cord-018142-xt71w4nr 151 8 plasma plasma NN cord-018142-xt71w4nr 151 9 exchange exchange NN cord-018142-xt71w4nr 151 10 compared compare VBN cord-018142-xt71w4nr 151 11 to to IN cord-018142-xt71w4nr 151 12 fresh fresh JJ cord-018142-xt71w4nr 151 13 frozen frozen JJ cord-018142-xt71w4nr 151 14 plasma plasma NN cord-018142-xt71w4nr 151 15 ( ( -LRB- cord-018142-xt71w4nr 151 16 FFP ffp NN cord-018142-xt71w4nr 151 17 ) ) -RRB- cord-018142-xt71w4nr 151 18 infusion infusion NN cord-018142-xt71w4nr 151 19 in in IN cord-018142-xt71w4nr 151 20 terms term NNS cord-018142-xt71w4nr 151 21 of of IN cord-018142-xt71w4nr 151 22 survival survival NN cord-018142-xt71w4nr 151 23 and and CC cord-018142-xt71w4nr 151 24 response response NN cord-018142-xt71w4nr 151 25 to to IN cord-018142-xt71w4nr 151 26 treatment treatment NN cord-018142-xt71w4nr 151 27 ( ( -LRB- cord-018142-xt71w4nr 151 28 78 78 CD cord-018142-xt71w4nr 151 29 versus versus IN cord-018142-xt71w4nr 151 30 49 49 CD cord-018142-xt71w4nr 151 31 % % NN cord-018142-xt71w4nr 151 32 ) ) -RRB- cord-018142-xt71w4nr 151 33 . . . cord-018142-xt71w4nr 152 1 The the DT cord-018142-xt71w4nr 152 2 use use NN cord-018142-xt71w4nr 152 3 of of IN cord-018142-xt71w4nr 152 4 plasma plasma NN cord-018142-xt71w4nr 152 5 exchange exchange NN cord-018142-xt71w4nr 152 6 is be VBZ cord-018142-xt71w4nr 152 7 positively positively RB cord-018142-xt71w4nr 152 8 correlated correlate VBN cord-018142-xt71w4nr 152 9 with with IN cord-018142-xt71w4nr 152 10 survival survival NN cord-018142-xt71w4nr 152 11 . . . cord-018142-xt71w4nr 153 1 Overall overall RB cord-018142-xt71w4nr 153 2 , , , cord-018142-xt71w4nr 153 3 TMA TMA NNP cord-018142-xt71w4nr 153 4 syndromes syndrome NNS cord-018142-xt71w4nr 153 5 with with IN cord-018142-xt71w4nr 153 6 severe severe JJ cord-018142-xt71w4nr 153 7 organ organ NN cord-018142-xt71w4nr 153 8 dysfunction dysfunction NN cord-018142-xt71w4nr 153 9 requiring require VBG cord-018142-xt71w4nr 153 10 admission admission NN cord-018142-xt71w4nr 153 11 to to IN cord-018142-xt71w4nr 153 12 the the DT cord-018142-xt71w4nr 153 13 ICU ICU NNP cord-018142-xt71w4nr 153 14 are be VBP cord-018142-xt71w4nr 153 15 associated associate VBN cord-018142-xt71w4nr 153 16 with with IN cord-018142-xt71w4nr 153 17 a a DT cord-018142-xt71w4nr 153 18 high high JJ cord-018142-xt71w4nr 153 19 mortality mortality NN cord-018142-xt71w4nr 153 20 . . . cord-018142-xt71w4nr 154 1 The the DT cord-018142-xt71w4nr 154 2 main main JJ cord-018142-xt71w4nr 154 3 cause cause NN cord-018142-xt71w4nr 154 4 of of IN cord-018142-xt71w4nr 154 5 death death NN cord-018142-xt71w4nr 154 6 in in IN cord-018142-xt71w4nr 154 7 these these DT cord-018142-xt71w4nr 154 8 patients patient NNS cord-018142-xt71w4nr 154 9 in in IN cord-018142-xt71w4nr 154 10 the the DT cord-018142-xt71w4nr 154 11 ICU ICU NNP cord-018142-xt71w4nr 154 12 is be VBZ cord-018142-xt71w4nr 154 13 multiple multiple JJ cord-018142-xt71w4nr 154 14 organ organ NN cord-018142-xt71w4nr 154 15 failure failure NN cord-018142-xt71w4nr 154 16 ( ( -LRB- cord-018142-xt71w4nr 154 17 MOF MOF NNP cord-018142-xt71w4nr 154 18 ) ) -RRB- cord-018142-xt71w4nr 154 19 . . . cord-018142-xt71w4nr 155 1 An an DT cord-018142-xt71w4nr 155 2 infection infection NN cord-018142-xt71w4nr 155 3 associated associate VBN cord-018142-xt71w4nr 155 4 with with IN cord-018142-xt71w4nr 155 5 TMA TMA NNP cord-018142-xt71w4nr 155 6 syndrome syndrome NN cord-018142-xt71w4nr 155 7 has have VBZ cord-018142-xt71w4nr 155 8 a a DT cord-018142-xt71w4nr 155 9 major major JJ cord-018142-xt71w4nr 155 10 impact impact NN cord-018142-xt71w4nr 155 11 on on IN cord-018142-xt71w4nr 155 12 the the DT cord-018142-xt71w4nr 155 13 outcome outcome NN cord-018142-xt71w4nr 155 14 of of IN cord-018142-xt71w4nr 155 15 these these DT cord-018142-xt71w4nr 155 16 patients patient NNS cord-018142-xt71w4nr 155 17 . . . cord-018142-xt71w4nr 156 1 The the DT cord-018142-xt71w4nr 156 2 presence presence NN cord-018142-xt71w4nr 156 3 of of IN cord-018142-xt71w4nr 156 4 a a DT cord-018142-xt71w4nr 156 5 neurological neurological JJ cord-018142-xt71w4nr 156 6 deficit deficit NN cord-018142-xt71w4nr 156 7 , , , cord-018142-xt71w4nr 156 8 possibly possibly RB cord-018142-xt71w4nr 156 9 evaluated evaluate VBN cord-018142-xt71w4nr 156 10 by by IN cord-018142-xt71w4nr 156 11 the the DT cord-018142-xt71w4nr 156 12 Glasgow Glasgow NNP cord-018142-xt71w4nr 156 13 Coma Coma NNP cord-018142-xt71w4nr 156 14 Scale Scale NNP cord-018142-xt71w4nr 156 15 , , , cord-018142-xt71w4nr 156 16 is be VBZ cord-018142-xt71w4nr 156 17 the the DT cord-018142-xt71w4nr 156 18 main main JJ cord-018142-xt71w4nr 156 19 negative negative JJ cord-018142-xt71w4nr 156 20 prognostic prognostic JJ cord-018142-xt71w4nr 156 21 factor factor NN cord-018142-xt71w4nr 156 22 correlated correlate VBN cord-018142-xt71w4nr 156 23 with with IN cord-018142-xt71w4nr 156 24 mortality mortality NN cord-018142-xt71w4nr 156 25 [ [ -LRB- cord-018142-xt71w4nr 156 26 11 11 CD cord-018142-xt71w4nr 156 27 , , , cord-018142-xt71w4nr 156 28 32 32 CD cord-018142-xt71w4nr 156 29 , , , cord-018142-xt71w4nr 156 30 34 34 CD cord-018142-xt71w4nr 156 31 , , , cord-018142-xt71w4nr 156 32 35 35 CD cord-018142-xt71w4nr 156 33 ] ] -RRB- cord-018142-xt71w4nr 156 34 . . . cord-018142-xt71w4nr 157 1 Other other JJ cord-018142-xt71w4nr 157 2 prognostic prognostic JJ cord-018142-xt71w4nr 157 3 factors factor NNS cord-018142-xt71w4nr 157 4 have have VBP cord-018142-xt71w4nr 157 5 also also RB cord-018142-xt71w4nr 157 6 been be VBN cord-018142-xt71w4nr 157 7 demonstrated demonstrate VBN cord-018142-xt71w4nr 157 8 : : : cord-018142-xt71w4nr 157 9 the the DT cord-018142-xt71w4nr 157 10 SAPS SAPS NNP cord-018142-xt71w4nr 157 11 II II NNP cord-018142-xt71w4nr 157 12 score score NN cord-018142-xt71w4nr 157 13 , , , cord-018142-xt71w4nr 157 14 need need VBP cord-018142-xt71w4nr 157 15 for for IN cord-018142-xt71w4nr 157 16 vasoactive vasoactive JJ cord-018142-xt71w4nr 157 17 support support NN cord-018142-xt71w4nr 157 18 , , , cord-018142-xt71w4nr 157 19 bilirubin bilirubin JJ cord-018142-xt71w4nr 157 20 level level NN cord-018142-xt71w4nr 157 21 , , , cord-018142-xt71w4nr 157 22 LDH LDH NNP cord-018142-xt71w4nr 157 23 kinetics kinetic NNS cord-018142-xt71w4nr 157 24 on on IN cord-018142-xt71w4nr 157 25 the the DT cord-018142-xt71w4nr 157 26 3rd 3rd JJ cord-018142-xt71w4nr 157 27 day day NN cord-018142-xt71w4nr 157 28 of of IN cord-018142-xt71w4nr 157 29 treatment treatment NN cord-018142-xt71w4nr 157 30 [ [ -LRB- cord-018142-xt71w4nr 157 31 11 11 CD cord-018142-xt71w4nr 157 32 ] ] -RRB- cord-018142-xt71w4nr 157 33 . . . cord-018142-xt71w4nr 158 1 Predictive predictive JJ cord-018142-xt71w4nr 158 2 scores score NNS cord-018142-xt71w4nr 158 3 for for IN cord-018142-xt71w4nr 158 4 TTP TTP NNP cord-018142-xt71w4nr 158 5 have have VBP cord-018142-xt71w4nr 158 6 been be VBN cord-018142-xt71w4nr 158 7 established establish VBN cord-018142-xt71w4nr 158 8 , , , cord-018142-xt71w4nr 158 9 but but CC cord-018142-xt71w4nr 158 10 their -PRON- PRP$ cord-018142-xt71w4nr 158 11 value value NN cord-018142-xt71w4nr 158 12 has have VBZ cord-018142-xt71w4nr 158 13 not not RB cord-018142-xt71w4nr 158 14 yet yet RB cord-018142-xt71w4nr 158 15 been be VBN cord-018142-xt71w4nr 158 16 validated validate VBN cord-018142-xt71w4nr 158 17 [ [ -LRB- cord-018142-xt71w4nr 158 18 35 35 CD cord-018142-xt71w4nr 158 19 ] ] -RRB- cord-018142-xt71w4nr 158 20 . . . cord-018142-xt71w4nr 159 1 Unlike unlike IN cord-018142-xt71w4nr 159 2 other other JJ cord-018142-xt71w4nr 159 3 diseases disease NNS cord-018142-xt71w4nr 159 4 usually usually RB cord-018142-xt71w4nr 159 5 observed observe VBN cord-018142-xt71w4nr 159 6 in in IN cord-018142-xt71w4nr 159 7 intensive intensive JJ cord-018142-xt71w4nr 159 8 care care NN cord-018142-xt71w4nr 159 9 , , , cord-018142-xt71w4nr 159 10 the the DT cord-018142-xt71w4nr 159 11 development development NN cord-018142-xt71w4nr 159 12 of of IN cord-018142-xt71w4nr 159 13 acute acute JJ cord-018142-xt71w4nr 159 14 renal renal JJ cord-018142-xt71w4nr 159 15 failure failure NN cord-018142-xt71w4nr 159 16 or or CC cord-018142-xt71w4nr 159 17 the the DT cord-018142-xt71w4nr 159 18 need need NN cord-018142-xt71w4nr 159 19 for for IN cord-018142-xt71w4nr 159 20 dialysis dialysis NN cord-018142-xt71w4nr 159 21 in in IN cord-018142-xt71w4nr 159 22 a a DT cord-018142-xt71w4nr 159 23 context context NN cord-018142-xt71w4nr 159 24 of of IN cord-018142-xt71w4nr 159 25 TMA TMA NNP cord-018142-xt71w4nr 159 26 are be VBP cord-018142-xt71w4nr 159 27 not not RB cord-018142-xt71w4nr 159 28 correlated correlate VBN cord-018142-xt71w4nr 159 29 with with IN cord-018142-xt71w4nr 159 30 mortality mortality NN cord-018142-xt71w4nr 159 31 [ [ -LRB- cord-018142-xt71w4nr 159 32 11 11 CD cord-018142-xt71w4nr 159 33 , , , cord-018142-xt71w4nr 159 34 33 33 CD cord-018142-xt71w4nr 159 35 , , , cord-018142-xt71w4nr 159 36 36 36 CD cord-018142-xt71w4nr 159 37 ] ] -RRB- cord-018142-xt71w4nr 159 38 . . . cord-018142-xt71w4nr 160 1 According accord VBG cord-018142-xt71w4nr 160 2 to to IN cord-018142-xt71w4nr 160 3 Lara Lara NNP cord-018142-xt71w4nr 160 4 et et NNP cord-018142-xt71w4nr 160 5 al al NNP cord-018142-xt71w4nr 160 6 . . . cord-018142-xt71w4nr 161 1 [ [ -LRB- cord-018142-xt71w4nr 161 2 32 32 CD cord-018142-xt71w4nr 161 3 ] ] -RRB- cord-018142-xt71w4nr 161 4 , , , cord-018142-xt71w4nr 161 5 renal renal JJ cord-018142-xt71w4nr 161 6 failure failure NN cord-018142-xt71w4nr 161 7 is be VBZ cord-018142-xt71w4nr 161 8 correlated correlate VBN cord-018142-xt71w4nr 161 9 with with IN cord-018142-xt71w4nr 161 10 a a DT cord-018142-xt71w4nr 161 11 risk risk NN cord-018142-xt71w4nr 161 12 of of IN cord-018142-xt71w4nr 161 13 relapse relapse NN cord-018142-xt71w4nr 161 14 of of IN cord-018142-xt71w4nr 161 15 TMA TMA NNP cord-018142-xt71w4nr 161 16 , , , cord-018142-xt71w4nr 161 17 which which WDT cord-018142-xt71w4nr 161 18 has have VBZ cord-018142-xt71w4nr 161 19 a a DT cord-018142-xt71w4nr 161 20 poor poor JJ cord-018142-xt71w4nr 161 21 prognosis prognosis NN cord-018142-xt71w4nr 161 22 , , , cord-018142-xt71w4nr 161 23 but but CC cord-018142-xt71w4nr 161 24 the the DT cord-018142-xt71w4nr 161 25 renal renal JJ cord-018142-xt71w4nr 161 26 prognosis prognosis NN cord-018142-xt71w4nr 161 27 of of IN cord-018142-xt71w4nr 161 28 TTP TTP NNP cord-018142-xt71w4nr 161 29 is be VBZ cord-018142-xt71w4nr 161 30 generally generally RB cord-018142-xt71w4nr 161 31 good good JJ cord-018142-xt71w4nr 161 32 . . . cord-018142-xt71w4nr 162 1 The the DT cord-018142-xt71w4nr 162 2 survival survival NN cord-018142-xt71w4nr 162 3 rates rate NNS cord-018142-xt71w4nr 162 4 of of IN cord-018142-xt71w4nr 162 5 post post JJ cord-018142-xt71w4nr 162 6 - - JJ cord-018142-xt71w4nr 162 7 diarrheal diarrheal JJ cord-018142-xt71w4nr 162 8 HUS HUS NNP cord-018142-xt71w4nr 162 9 are be VBP cord-018142-xt71w4nr 162 10 excellent excellent JJ cord-018142-xt71w4nr 162 11 in in IN cord-018142-xt71w4nr 162 12 response response NN cord-018142-xt71w4nr 162 13 to to IN cord-018142-xt71w4nr 162 14 symptomatic symptomatic JJ cord-018142-xt71w4nr 162 15 treatment treatment NN cord-018142-xt71w4nr 162 16 alone alone RB cord-018142-xt71w4nr 162 17 , , , cord-018142-xt71w4nr 162 18 and and CC cord-018142-xt71w4nr 162 19 admission admission NN cord-018142-xt71w4nr 162 20 to to IN cord-018142-xt71w4nr 162 21 the the DT cord-018142-xt71w4nr 162 22 ICU ICU NNP cord-018142-xt71w4nr 162 23 is be VBZ cord-018142-xt71w4nr 162 24 only only RB cord-018142-xt71w4nr 162 25 rarely rarely RB cord-018142-xt71w4nr 162 26 necessary necessary JJ cord-018142-xt71w4nr 162 27 . . . cord-018142-xt71w4nr 163 1 The the DT cord-018142-xt71w4nr 163 2 mortality mortality NN cord-018142-xt71w4nr 163 3 of of IN cord-018142-xt71w4nr 163 4 post post JJ cord-018142-xt71w4nr 163 5 - - JJ cord-018142-xt71w4nr 163 6 diarrheal diarrheal JJ cord-018142-xt71w4nr 163 7 HUS HUS NNP cord-018142-xt71w4nr 163 8 varies vary VBZ cord-018142-xt71w4nr 163 9 between between IN cord-018142-xt71w4nr 163 10 3 3 CD cord-018142-xt71w4nr 163 11 and and CC cord-018142-xt71w4nr 163 12 8 8 CD cord-018142-xt71w4nr 163 13 % % NN cord-018142-xt71w4nr 163 14 and and CC cord-018142-xt71w4nr 163 15 is be VBZ cord-018142-xt71w4nr 163 16 related relate VBN cord-018142-xt71w4nr 163 17 to to IN cord-018142-xt71w4nr 163 18 gastrointestinal gastrointestinal JJ cord-018142-xt71w4nr 163 19 and and CC cord-018142-xt71w4nr 163 20 neurological neurological JJ cord-018142-xt71w4nr 163 21 lesions lesion NNS cord-018142-xt71w4nr 163 22 . . . cord-018142-xt71w4nr 164 1 The the DT cord-018142-xt71w4nr 164 2 short short JJ cord-018142-xt71w4nr 164 3 - - HYPH cord-018142-xt71w4nr 164 4 term term NN cord-018142-xt71w4nr 164 5 renal renal JJ cord-018142-xt71w4nr 164 6 prognosis prognosis NN cord-018142-xt71w4nr 164 7 is be VBZ cord-018142-xt71w4nr 164 8 good good JJ cord-018142-xt71w4nr 164 9 ( ( -LRB- cord-018142-xt71w4nr 164 10 improvement improvement NN cord-018142-xt71w4nr 164 11 of of IN cord-018142-xt71w4nr 164 12 renal renal JJ cord-018142-xt71w4nr 164 13 function function NN cord-018142-xt71w4nr 164 14 over over IN cord-018142-xt71w4nr 164 15 several several JJ cord-018142-xt71w4nr 164 16 days day NNS cord-018142-xt71w4nr 164 17 to to IN cord-018142-xt71w4nr 164 18 several several JJ cord-018142-xt71w4nr 164 19 weeks week NNS cord-018142-xt71w4nr 164 20 ) ) -RRB- cord-018142-xt71w4nr 164 21 . . . cord-018142-xt71w4nr 165 1 However however RB cord-018142-xt71w4nr 165 2 , , , cord-018142-xt71w4nr 165 3 one one CD cord-018142-xt71w4nr 165 4 quarter quarter NN cord-018142-xt71w4nr 165 5 to to IN cord-018142-xt71w4nr 165 6 one one CD cord-018142-xt71w4nr 165 7 third third NN cord-018142-xt71w4nr 165 8 of of IN cord-018142-xt71w4nr 165 9 children child NNS cord-018142-xt71w4nr 165 10 still still RB cord-018142-xt71w4nr 165 11 present present VBP cord-018142-xt71w4nr 165 12 renal renal JJ cord-018142-xt71w4nr 165 13 sequelae sequela NNS cord-018142-xt71w4nr 165 14 10 10 CD cord-018142-xt71w4nr 165 15 years year NNS cord-018142-xt71w4nr 165 16 later later RB cord-018142-xt71w4nr 165 17 ( ( -LRB- cord-018142-xt71w4nr 165 18 proteinuria proteinuria NN cord-018142-xt71w4nr 165 19 and/or and/or CC cord-018142-xt71w4nr 165 20 renal renal JJ cord-018142-xt71w4nr 165 21 failure failure NN cord-018142-xt71w4nr 165 22 ) ) -RRB- cord-018142-xt71w4nr 165 23 with with IN cord-018142-xt71w4nr 165 24 end end NN cord-018142-xt71w4nr 165 25 - - HYPH cord-018142-xt71w4nr 165 26 stage stage NN cord-018142-xt71w4nr 165 27 chronic chronic JJ cord-018142-xt71w4nr 165 28 renal renal JJ cord-018142-xt71w4nr 165 29 failure failure NN cord-018142-xt71w4nr 165 30 in in IN cord-018142-xt71w4nr 165 31 3 3 CD cord-018142-xt71w4nr 165 32 to to IN cord-018142-xt71w4nr 165 33 4 4 CD cord-018142-xt71w4nr 165 34 % % NN cord-018142-xt71w4nr 165 35 of of IN cord-018142-xt71w4nr 165 36 cases case NNS cord-018142-xt71w4nr 165 37 . . . cord-018142-xt71w4nr 166 1 Atypical atypical JJ cord-018142-xt71w4nr 166 2 HUS hus NN cord-018142-xt71w4nr 166 3 in in IN cord-018142-xt71w4nr 166 4 children child NNS cord-018142-xt71w4nr 166 5 has have VBZ cord-018142-xt71w4nr 166 6 a a DT cord-018142-xt71w4nr 166 7 poor poor JJ cord-018142-xt71w4nr 166 8 prognosis prognosis NN cord-018142-xt71w4nr 166 9 , , , cord-018142-xt71w4nr 166 10 frequently frequently RB cord-018142-xt71w4nr 166 11 resulting result VBG cord-018142-xt71w4nr 166 12 in in IN cord-018142-xt71w4nr 166 13 end end NN cord-018142-xt71w4nr 166 14 - - HYPH cord-018142-xt71w4nr 166 15 stage stage NN cord-018142-xt71w4nr 166 16 chronic chronic JJ cord-018142-xt71w4nr 166 17 renal renal JJ cord-018142-xt71w4nr 166 18 failure failure NN cord-018142-xt71w4nr 166 19 and and CC cord-018142-xt71w4nr 166 20 a a DT cord-018142-xt71w4nr 166 21 high high JJ cord-018142-xt71w4nr 166 22 post post JJ cord-018142-xt71w4nr 166 23 - - JJ cord-018142-xt71w4nr 166 24 transplantation transplantation JJ cord-018142-xt71w4nr 166 25 recurrence recurrence NN cord-018142-xt71w4nr 166 26 rate rate NN cord-018142-xt71w4nr 166 27 . . . cord-018142-xt71w4nr 167 1 Atypical atypical JJ cord-018142-xt71w4nr 167 2 HUS hus NN cord-018142-xt71w4nr 167 3 in in IN cord-018142-xt71w4nr 167 4 adults adult NNS cord-018142-xt71w4nr 167 5 is be VBZ cord-018142-xt71w4nr 167 6 a a DT cord-018142-xt71w4nr 167 7 serious serious JJ cord-018142-xt71w4nr 167 8 disease disease NN cord-018142-xt71w4nr 167 9 in in IN cord-018142-xt71w4nr 167 10 which which WDT cord-018142-xt71w4nr 167 11 the the DT cord-018142-xt71w4nr 167 12 prognosis prognosis NN cord-018142-xt71w4nr 167 13 depends depend VBZ cord-018142-xt71w4nr 167 14 on on IN cord-018142-xt71w4nr 167 15 the the DT cord-018142-xt71w4nr 167 16 etiology etiology NN cord-018142-xt71w4nr 167 17 of of IN cord-018142-xt71w4nr 167 18 HUS HUS NNP cord-018142-xt71w4nr 167 19 . . . cord-018142-xt71w4nr 168 1 The the DT cord-018142-xt71w4nr 168 2 concomitant concomitant JJ cord-018142-xt71w4nr 168 3 presence presence NN cord-018142-xt71w4nr 168 4 of of IN cord-018142-xt71w4nr 168 5 advanced advanced JJ cord-018142-xt71w4nr 168 6 cancer cancer NN cord-018142-xt71w4nr 168 7 , , , cord-018142-xt71w4nr 168 8 HIV HIV NNP cord-018142-xt71w4nr 168 9 infection infection NN cord-018142-xt71w4nr 168 10 , , , cord-018142-xt71w4nr 168 11 mitomycin mitomycin NNS cord-018142-xt71w4nr 168 12 C C NNP cord-018142-xt71w4nr 168 13 therapy therapy NN cord-018142-xt71w4nr 168 14 and and CC cord-018142-xt71w4nr 168 15 post post JJ cord-018142-xt71w4nr 168 16 - - JJ cord-018142-xt71w4nr 168 17 partum partum JJ cord-018142-xt71w4nr 168 18 etiology etiology NN cord-018142-xt71w4nr 168 19 carries carry VBZ cord-018142-xt71w4nr 168 20 a a DT cord-018142-xt71w4nr 168 21 very very RB cord-018142-xt71w4nr 168 22 poor poor JJ cord-018142-xt71w4nr 168 23 prognosis prognosis NN cord-018142-xt71w4nr 168 24 . . . cord-018142-xt71w4nr 169 1 The the DT cord-018142-xt71w4nr 169 2 intensive intensive JJ cord-018142-xt71w4nr 169 3 care care NN cord-018142-xt71w4nr 169 4 mortality mortality NN cord-018142-xt71w4nr 169 5 rate rate NN cord-018142-xt71w4nr 169 6 of of IN cord-018142-xt71w4nr 169 7 atypical atypical JJ cord-018142-xt71w4nr 169 8 HUS hus NN cord-018142-xt71w4nr 169 9 is be VBZ cord-018142-xt71w4nr 169 10 10 10 CD cord-018142-xt71w4nr 169 11 to to TO cord-018142-xt71w4nr 169 12 20 20 CD cord-018142-xt71w4nr 169 13 % % NN cord-018142-xt71w4nr 169 14 . . . cord-018142-xt71w4nr 170 1 Twenty twenty CD cord-018142-xt71w4nr 170 2 - - HYPH cord-018142-xt71w4nr 170 3 five five CD cord-018142-xt71w4nr 170 4 to to TO cord-018142-xt71w4nr 170 5 50 50 CD cord-018142-xt71w4nr 170 6 % % NN cord-018142-xt71w4nr 170 7 of of IN cord-018142-xt71w4nr 170 8 these these DT cord-018142-xt71w4nr 170 9 patients patient NNS cord-018142-xt71w4nr 170 10 will will MD cord-018142-xt71w4nr 170 11 require require VB cord-018142-xt71w4nr 170 12 chronic chronic JJ cord-018142-xt71w4nr 170 13 dialysis dialysis NN cord-018142-xt71w4nr 170 14 . . . cord-018142-xt71w4nr 171 1 Only only RB cord-018142-xt71w4nr 171 2 50 50 CD cord-018142-xt71w4nr 171 3 % % NN cord-018142-xt71w4nr 171 4 of of IN cord-018142-xt71w4nr 171 5 survivors survivor NNS cord-018142-xt71w4nr 171 6 are be VBP cord-018142-xt71w4nr 171 7 completely completely RB cord-018142-xt71w4nr 171 8 cured cure VBN cord-018142-xt71w4nr 171 9 without without IN cord-018142-xt71w4nr 171 10 sequelae sequela NNS cord-018142-xt71w4nr 171 11 . . . cord-018142-xt71w4nr 172 1 In in IN cord-018142-xt71w4nr 172 2 patients patient NNS cord-018142-xt71w4nr 172 3 with with IN cord-018142-xt71w4nr 172 4 underlying underlying JJ cord-018142-xt71w4nr 172 5 nephropathy nephropathy NN cord-018142-xt71w4nr 172 6 , , , cord-018142-xt71w4nr 172 7 chronic chronic JJ cord-018142-xt71w4nr 172 8 renal renal JJ cord-018142-xt71w4nr 172 9 failure failure NN cord-018142-xt71w4nr 172 10 persists persist VBZ cord-018142-xt71w4nr 172 11 after after IN cord-018142-xt71w4nr 172 12 the the DT cord-018142-xt71w4nr 172 13 acute acute JJ cord-018142-xt71w4nr 172 14 episode episode NN cord-018142-xt71w4nr 172 15 in in IN cord-018142-xt71w4nr 172 16 70 70 CD cord-018142-xt71w4nr 172 17 % % NN cord-018142-xt71w4nr 172 18 of of IN cord-018142-xt71w4nr 172 19 cases case NNS cord-018142-xt71w4nr 172 20 . . . cord-018142-xt71w4nr 173 1 Long long JJ cord-018142-xt71w4nr 173 2 - - HYPH cord-018142-xt71w4nr 173 3 term term NN cord-018142-xt71w4nr 173 4 recurrences recurrence NNS cord-018142-xt71w4nr 173 5 are be VBP cord-018142-xt71w4nr 173 6 possible possible JJ cord-018142-xt71w4nr 173 7 , , , cord-018142-xt71w4nr 173 8 especially especially RB cord-018142-xt71w4nr 173 9 when when WRB cord-018142-xt71w4nr 173 10 the the DT cord-018142-xt71w4nr 173 11 cause cause NN cord-018142-xt71w4nr 173 12 of of IN cord-018142-xt71w4nr 173 13 HUS HUS NNP cord-018142-xt71w4nr 173 14 persists persist VBZ cord-018142-xt71w4nr 173 15 , , , cord-018142-xt71w4nr 173 16 but but CC cord-018142-xt71w4nr 173 17 are be VBP cord-018142-xt71w4nr 173 18 less less RBR cord-018142-xt71w4nr 173 19 frequent frequent JJ cord-018142-xt71w4nr 173 20 than than IN cord-018142-xt71w4nr 173 21 for for IN cord-018142-xt71w4nr 173 22 TTP TTP NNP cord-018142-xt71w4nr 173 23 . . . cord-018142-xt71w4nr 174 1 z z NNP cord-018142-xt71w4nr 174 2 Management Management NNP cord-018142-xt71w4nr 174 3 TMA TMA NNP cord-018142-xt71w4nr 174 4 always always RB cord-018142-xt71w4nr 174 5 requires require VBZ cord-018142-xt71w4nr 174 6 emergency emergency NN cord-018142-xt71w4nr 174 7 treatment treatment NN cord-018142-xt71w4nr 174 8 . . . cord-018142-xt71w4nr 175 1 Admission admission NN cord-018142-xt71w4nr 175 2 to to IN cord-018142-xt71w4nr 175 3 intensive intensive JJ cord-018142-xt71w4nr 175 4 care care NN cord-018142-xt71w4nr 175 5 , , , cord-018142-xt71w4nr 175 6 in in IN cord-018142-xt71w4nr 175 7 addition addition NN cord-018142-xt71w4nr 175 8 to to IN cord-018142-xt71w4nr 175 9 the the DT cord-018142-xt71w4nr 175 10 usual usual JJ cord-018142-xt71w4nr 175 11 criteria criterion NNS cord-018142-xt71w4nr 175 12 of of IN cord-018142-xt71w4nr 175 13 organ organ NN cord-018142-xt71w4nr 175 14 failure failure NN cord-018142-xt71w4nr 175 15 , , , cord-018142-xt71w4nr 175 16 must must MD cord-018142-xt71w4nr 175 17 be be VB cord-018142-xt71w4nr 175 18 proposed propose VBN cord-018142-xt71w4nr 175 19 in in IN cord-018142-xt71w4nr 175 20 all all DT cord-018142-xt71w4nr 175 21 patients patient NNS cord-018142-xt71w4nr 175 22 with with IN cord-018142-xt71w4nr 175 23 severe severe JJ cord-018142-xt71w4nr 175 24 thrombocytopenia thrombocytopenia NN cord-018142-xt71w4nr 175 25 ( ( -LRB- cord-018142-xt71w4nr 175 26 less less JJR cord-018142-xt71w4nr 175 27 than than IN cord-018142-xt71w4nr 175 28 50,000 50,000 CD cord-018142-xt71w4nr 175 29 / / SYM cord-018142-xt71w4nr 175 30 mm mm NN cord-018142-xt71w4nr 175 31 3 3 CD cord-018142-xt71w4nr 175 32 ) ) -RRB- cord-018142-xt71w4nr 175 33 , , , cord-018142-xt71w4nr 175 34 due due IN cord-018142-xt71w4nr 175 35 to to IN cord-018142-xt71w4nr 175 36 the the DT cord-018142-xt71w4nr 175 37 high high JJ cord-018142-xt71w4nr 175 38 frequency frequency NN cord-018142-xt71w4nr 175 39 of of IN cord-018142-xt71w4nr 175 40 organ organ NN cord-018142-xt71w4nr 175 41 dysfunction dysfunction NN cord-018142-xt71w4nr 175 42 at at IN cord-018142-xt71w4nr 175 43 the the DT cord-018142-xt71w4nr 175 44 acute acute JJ cord-018142-xt71w4nr 175 45 phase phase NN cord-018142-xt71w4nr 175 46 of of IN cord-018142-xt71w4nr 175 47 the the DT cord-018142-xt71w4nr 175 48 disease disease NN cord-018142-xt71w4nr 175 49 . . . cord-018142-xt71w4nr 176 1 Symptomatic symptomatic JJ cord-018142-xt71w4nr 176 2 treatment treatment NN cord-018142-xt71w4nr 176 3 is be VBZ cord-018142-xt71w4nr 176 4 required require VBN cord-018142-xt71w4nr 176 5 in in IN cord-018142-xt71w4nr 176 6 all all DT cord-018142-xt71w4nr 176 7 forms form NNS cord-018142-xt71w4nr 176 8 of of IN cord-018142-xt71w4nr 176 9 TMA TMA NNP cord-018142-xt71w4nr 176 10 . . . cord-018142-xt71w4nr 177 1 TMA TMA NNP cord-018142-xt71w4nr 177 2 disorders disorder NNS cord-018142-xt71w4nr 177 3 always always RB cord-018142-xt71w4nr 177 4 have have VBP cord-018142-xt71w4nr 177 5 an an DT cord-018142-xt71w4nr 177 6 unpredictable unpredictable JJ cord-018142-xt71w4nr 177 7 course course NN cord-018142-xt71w4nr 177 8 . . . cord-018142-xt71w4nr 178 1 All all DT cord-018142-xt71w4nr 178 2 available available JJ cord-018142-xt71w4nr 178 3 measures measure NNS cord-018142-xt71w4nr 179 1 of`aggressive of`aggressive DT cord-018142-xt71w4nr 179 2 intensive intensive JJ cord-018142-xt71w4nr 179 3 care care NN cord-018142-xt71w4nr 179 4 ' ' '' cord-018142-xt71w4nr 179 5 must must MD cord-018142-xt71w4nr 179 6 , , , cord-018142-xt71w4nr 179 7 therefore therefore RB cord-018142-xt71w4nr 179 8 , , , cord-018142-xt71w4nr 179 9 be be VB cord-018142-xt71w4nr 179 10 proposed propose VBN cord-018142-xt71w4nr 179 11 , , , cord-018142-xt71w4nr 179 12 even even RB cord-018142-xt71w4nr 179 13 in in IN cord-018142-xt71w4nr 179 14 the the DT cord-018142-xt71w4nr 179 15 case case NN cord-018142-xt71w4nr 179 16 of of IN cord-018142-xt71w4nr 179 17 severe severe JJ cord-018142-xt71w4nr 179 18 neurological neurological JJ cord-018142-xt71w4nr 179 19 signs sign NNS cord-018142-xt71w4nr 179 20 . . . cord-018142-xt71w4nr 180 1 Patients patient NNS cord-018142-xt71w4nr 180 2 with with IN cord-018142-xt71w4nr 180 3 respiratory respiratory JJ cord-018142-xt71w4nr 180 4 failure failure NN cord-018142-xt71w4nr 180 5 require require VBP cord-018142-xt71w4nr 180 6 mechanical mechanical JJ cord-018142-xt71w4nr 180 7 ventilation ventilation NN cord-018142-xt71w4nr 180 8 . . . cord-018142-xt71w4nr 181 1 This this DT cord-018142-xt71w4nr 181 2 corresponds correspond VBZ cord-018142-xt71w4nr 181 3 to to IN cord-018142-xt71w4nr 181 4 59 59 CD cord-018142-xt71w4nr 181 5 % % NN cord-018142-xt71w4nr 181 6 of of IN cord-018142-xt71w4nr 181 7 all all DT cord-018142-xt71w4nr 181 8 patients patient NNS cord-018142-xt71w4nr 181 9 admitted admit VBN cord-018142-xt71w4nr 181 10 to to IN cord-018142-xt71w4nr 181 11 the the DT cord-018142-xt71w4nr 181 12 ICU ICU NNP cord-018142-xt71w4nr 181 13 for for IN cord-018142-xt71w4nr 181 14 TMA TMA NNP cord-018142-xt71w4nr 181 15 [ [ -LRB- cord-018142-xt71w4nr 181 16 11 11 CD cord-018142-xt71w4nr 181 17 ] ] -RRB- cord-018142-xt71w4nr 181 18 . . . cord-018142-xt71w4nr 182 1 When when WRB cord-018142-xt71w4nr 182 2 possible possible JJ cord-018142-xt71w4nr 182 3 , , , cord-018142-xt71w4nr 182 4 non non JJ cord-018142-xt71w4nr 182 5 - - JJ cord-018142-xt71w4nr 182 6 invasive invasive JJ cord-018142-xt71w4nr 182 7 ventilation ventilation NN cord-018142-xt71w4nr 182 8 should should MD cord-018142-xt71w4nr 182 9 be be VB cord-018142-xt71w4nr 182 10 preferred prefer VBN cord-018142-xt71w4nr 182 11 to to IN cord-018142-xt71w4nr 182 12 invasive invasive JJ cord-018142-xt71w4nr 182 13 ventilation ventilation NN cord-018142-xt71w4nr 182 14 due due IN cord-018142-xt71w4nr 182 15 to to IN cord-018142-xt71w4nr 182 16 the the DT cord-018142-xt71w4nr 182 17 hemorrhagic hemorrhagic JJ cord-018142-xt71w4nr 182 18 and and CC cord-018142-xt71w4nr 182 19 infectious infectious JJ cord-018142-xt71w4nr 182 20 risks risk NNS cord-018142-xt71w4nr 182 21 associated associate VBN cord-018142-xt71w4nr 182 22 with with IN cord-018142-xt71w4nr 182 23 invasive invasive JJ cord-018142-xt71w4nr 182 24 ventilation ventilation NN cord-018142-xt71w4nr 182 25 . . . cord-018142-xt71w4nr 183 1 Patients patient NNS cord-018142-xt71w4nr 183 2 with with IN cord-018142-xt71w4nr 183 3 severe severe JJ cord-018142-xt71w4nr 183 4 renal renal JJ cord-018142-xt71w4nr 183 5 failure failure NN cord-018142-xt71w4nr 183 6 require require VBP cord-018142-xt71w4nr 183 7 dialysis dialysis NN cord-018142-xt71w4nr 183 8 ( ( -LRB- cord-018142-xt71w4nr 183 9 47 47 CD cord-018142-xt71w4nr 183 10 % % NN cord-018142-xt71w4nr 183 11 of of IN cord-018142-xt71w4nr 183 12 TMA TMA NNP cord-018142-xt71w4nr 183 13 patients patient NNS cord-018142-xt71w4nr 183 14 in in IN cord-018142-xt71w4nr 183 15 intensive intensive JJ cord-018142-xt71w4nr 183 16 care care NN cord-018142-xt71w4nr 183 17 ) ) -RRB- cord-018142-xt71w4nr 183 18 and and CC cord-018142-xt71w4nr 184 1 32 32 CD cord-018142-xt71w4nr 184 2 % % NN cord-018142-xt71w4nr 184 3 of of IN cord-018142-xt71w4nr 184 4 patients patient NNS cord-018142-xt71w4nr 184 5 require require VBP cord-018142-xt71w4nr 184 6 vasopressor vasopressor NN cord-018142-xt71w4nr 184 7 support support NN cord-018142-xt71w4nr 184 8 . . . cord-018142-xt71w4nr 185 1 Hypertension hypertension NN cord-018142-xt71w4nr 185 2 must must MD cord-018142-xt71w4nr 185 3 also also RB cord-018142-xt71w4nr 185 4 be be VB cord-018142-xt71w4nr 185 5 treated treat VBN cord-018142-xt71w4nr 185 6 , , , cord-018142-xt71w4nr 185 7 preferably preferably RB cord-018142-xt71w4nr 185 8 by by IN cord-018142-xt71w4nr 185 9 angiotensin angiotensin NN cord-018142-xt71w4nr 185 10 converting convert VBG cord-018142-xt71w4nr 185 11 enzyme enzyme NN cord-018142-xt71w4nr 185 12 ( ( -LRB- cord-018142-xt71w4nr 185 13 ACE ACE NNP cord-018142-xt71w4nr 185 14 ) ) -RRB- cord-018142-xt71w4nr 185 15 inhibitors inhibitor NNS cord-018142-xt71w4nr 185 16 . . . cord-018142-xt71w4nr 186 1 The the DT cord-018142-xt71w4nr 186 2 target target NN cord-018142-xt71w4nr 186 3 blood blood NN cord-018142-xt71w4nr 186 4 pressure pressure NN cord-018142-xt71w4nr 186 5 is be VBZ cord-018142-xt71w4nr 186 6 120/80 120/80 CD cord-018142-xt71w4nr 186 7 mmHg mmHg NNS cord-018142-xt71w4nr 186 8 . . . cord-018142-xt71w4nr 187 1 Folate folate NN cord-018142-xt71w4nr 187 2 supplementation supplementation NN cord-018142-xt71w4nr 187 3 is be VBZ cord-018142-xt71w4nr 187 4 systematically systematically RB cord-018142-xt71w4nr 187 5 prescribed prescribe VBN cord-018142-xt71w4nr 187 6 ( ( -LRB- cord-018142-xt71w4nr 187 7 intense intense JJ cord-018142-xt71w4nr 187 8 folate folate NN cord-018142-xt71w4nr 187 9 - - HYPH cord-018142-xt71w4nr 187 10 consuming consume VBG cord-018142-xt71w4nr 187 11 bone bone NN cord-018142-xt71w4nr 187 12 marrow marrow NN cord-018142-xt71w4nr 187 13 regeneration regeneration NN cord-018142-xt71w4nr 187 14 ) ) -RRB- cord-018142-xt71w4nr 187 15 . . . cord-018142-xt71w4nr 188 1 Anemia anemia NN cord-018142-xt71w4nr 188 2 must must MD cord-018142-xt71w4nr 188 3 be be VB cord-018142-xt71w4nr 188 4 corrected correct VBN cord-018142-xt71w4nr 188 5 by by IN cord-018142-xt71w4nr 188 6 packed pack VBN cord-018142-xt71w4nr 188 7 cell cell NN cord-018142-xt71w4nr 188 8 transfusion transfusion NN cord-018142-xt71w4nr 188 9 to to TO cord-018142-xt71w4nr 188 10 achieve achieve VB cord-018142-xt71w4nr 188 11 hemoglobin hemoglobin NN cord-018142-xt71w4nr 188 12 concentrations concentration NNS cord-018142-xt71w4nr 188 13 greater great JJR cord-018142-xt71w4nr 188 14 than than IN cord-018142-xt71w4nr 188 15 8 8 CD cord-018142-xt71w4nr 189 1 g g NNP cord-018142-xt71w4nr 189 2 / / SYM cord-018142-xt71w4nr 189 3 dl dl NN cord-018142-xt71w4nr 189 4 . . . cord-018142-xt71w4nr 190 1 Platelet platelet NN cord-018142-xt71w4nr 190 2 transfusions transfusion NNS cord-018142-xt71w4nr 190 3 should should MD cord-018142-xt71w4nr 190 4 be be VB cord-018142-xt71w4nr 190 5 avoided avoid VBN cord-018142-xt71w4nr 190 6 , , , cord-018142-xt71w4nr 190 7 except except IN cord-018142-xt71w4nr 190 8 in in IN cord-018142-xt71w4nr 190 9 the the DT cord-018142-xt71w4nr 190 10 case case NN cord-018142-xt71w4nr 190 11 of of IN cord-018142-xt71w4nr 190 12 uncontrolled uncontrolled JJ cord-018142-xt71w4nr 190 13 bleeding bleeding NN cord-018142-xt71w4nr 190 14 , , , cord-018142-xt71w4nr 190 15 as as IN cord-018142-xt71w4nr 190 16 they -PRON- PRP cord-018142-xt71w4nr 190 17 may may MD cord-018142-xt71w4nr 190 18 increase increase VB cord-018142-xt71w4nr 190 19 the the DT cord-018142-xt71w4nr 190 20 thrombotic thrombotic JJ cord-018142-xt71w4nr 190 21 process process NN cord-018142-xt71w4nr 190 22 in in IN cord-018142-xt71w4nr 190 23 the the DT cord-018142-xt71w4nr 190 24 microcirculation microcirculation NN cord-018142-xt71w4nr 190 25 . . . cord-018142-xt71w4nr 191 1 Anticonvulsants anticonvulsant NNS cord-018142-xt71w4nr 191 2 should should MD cord-018142-xt71w4nr 191 3 be be VB cord-018142-xt71w4nr 191 4 prescribed prescribe VBN cord-018142-xt71w4nr 191 5 to to IN cord-018142-xt71w4nr 191 6 patients patient NNS cord-018142-xt71w4nr 191 7 with with IN cord-018142-xt71w4nr 191 8 a a DT cord-018142-xt71w4nr 191 9 history history NN cord-018142-xt71w4nr 191 10 of of IN cord-018142-xt71w4nr 191 11 epilepsy epilepsy NN cord-018142-xt71w4nr 191 12 . . . cord-018142-xt71w4nr 192 1 Any any DT cord-018142-xt71w4nr 192 2 triggering trigger VBG cord-018142-xt71w4nr 192 3 or or CC cord-018142-xt71w4nr 192 4 associated associated JJ cord-018142-xt71w4nr 192 5 factors factor NNS cord-018142-xt71w4nr 192 6 must must MD cord-018142-xt71w4nr 192 7 be be VB cord-018142-xt71w4nr 192 8 treated treat VBN cord-018142-xt71w4nr 192 9 . . . cord-018142-xt71w4nr 193 1 In in IN cord-018142-xt71w4nr 193 2 particular particular JJ cord-018142-xt71w4nr 193 3 , , , cord-018142-xt71w4nr 193 4 antibiotics antibiotic NNS cord-018142-xt71w4nr 193 5 should should MD cord-018142-xt71w4nr 193 6 be be VB cord-018142-xt71w4nr 193 7 initiated initiate VBN cord-018142-xt71w4nr 193 8 whenever whenever WRB cord-018142-xt71w4nr 193 9 an an DT cord-018142-xt71w4nr 193 10 infection infection NN cord-018142-xt71w4nr 193 11 is be VBZ cord-018142-xt71w4nr 193 12 suspected suspect VBN cord-018142-xt71w4nr 193 13 ( ( -LRB- cord-018142-xt71w4nr 193 14 except except IN cord-018142-xt71w4nr 193 15 for for IN cord-018142-xt71w4nr 193 16 cases case NNS cord-018142-xt71w4nr 193 17 of of IN cord-018142-xt71w4nr 193 18 post post JJ cord-018142-xt71w4nr 193 19 - - JJ cord-018142-xt71w4nr 193 20 diarrheal diarrheal JJ cord-018142-xt71w4nr 193 21 HUS HUS NNP cord-018142-xt71w4nr 193 22 , , , cord-018142-xt71w4nr 193 23 in in IN cord-018142-xt71w4nr 193 24 which which WDT cord-018142-xt71w4nr 193 25 antibiotics antibiotic NNS cord-018142-xt71w4nr 193 26 can can MD cord-018142-xt71w4nr 193 27 worsen worsen VB cord-018142-xt71w4nr 193 28 the the DT cord-018142-xt71w4nr 193 29 HUS HUS NNP cord-018142-xt71w4nr 193 30 [ [ -LRB- cord-018142-xt71w4nr 193 31 37 37 CD cord-018142-xt71w4nr 193 32 ] ] -RRB- cord-018142-xt71w4nr 193 33 ) ) -RRB- cord-018142-xt71w4nr 193 34 . . . cord-018142-xt71w4nr 194 1 Persistence persistence NN cord-018142-xt71w4nr 194 2 of of IN cord-018142-xt71w4nr 194 3 an an DT cord-018142-xt71w4nr 194 4 occult occult JJ cord-018142-xt71w4nr 194 5 bacterial bacterial JJ cord-018142-xt71w4nr 194 6 infection infection NN cord-018142-xt71w4nr 194 7 can can MD cord-018142-xt71w4nr 194 8 lead lead VB cord-018142-xt71w4nr 194 9 to to IN cord-018142-xt71w4nr 194 10 persistence persistence NN cord-018142-xt71w4nr 194 11 of of IN cord-018142-xt71w4nr 194 12 TTP TTP NNP cord-018142-xt71w4nr 194 13 , , , cord-018142-xt71w4nr 194 14 making make VBG cord-018142-xt71w4nr 194 15 it -PRON- PRP cord-018142-xt71w4nr 194 16 refractory refractory JJ cord-018142-xt71w4nr 194 17 to to IN cord-018142-xt71w4nr 194 18 conventional conventional JJ cord-018142-xt71w4nr 194 19 treatment treatment NN cord-018142-xt71w4nr 194 20 . . . cord-018142-xt71w4nr 195 1 Indication indication NN cord-018142-xt71w4nr 195 2 . . . cord-018142-xt71w4nr 196 1 This this DT cord-018142-xt71w4nr 196 2 treatment treatment NN cord-018142-xt71w4nr 196 3 is be VBZ cord-018142-xt71w4nr 196 4 not not RB cord-018142-xt71w4nr 196 5 indicated indicate VBN cord-018142-xt71w4nr 196 6 in in IN cord-018142-xt71w4nr 196 7 post post JJ cord-018142-xt71w4nr 196 8 - - JJ cord-018142-xt71w4nr 196 9 diarrheal diarrheal JJ cord-018142-xt71w4nr 196 10 HUS HUS NNP cord-018142-xt71w4nr 196 11 , , , cord-018142-xt71w4nr 196 12 as as IN cord-018142-xt71w4nr 196 13 plasma plasma NN cord-018142-xt71w4nr 196 14 therapy therapy NN cord-018142-xt71w4nr 196 15 does do VBZ cord-018142-xt71w4nr 196 16 not not RB cord-018142-xt71w4nr 196 17 modify modify VB cord-018142-xt71w4nr 196 18 survival survival NN cord-018142-xt71w4nr 196 19 ( ( -LRB- cord-018142-xt71w4nr 196 20 which which WDT cord-018142-xt71w4nr 196 21 is be VBZ cord-018142-xt71w4nr 196 22 excellent excellent JJ cord-018142-xt71w4nr 196 23 in in IN cord-018142-xt71w4nr 196 24 response response NN cord-018142-xt71w4nr 196 25 to to IN cord-018142-xt71w4nr 196 26 symptomatic symptomatic JJ cord-018142-xt71w4nr 196 27 treatment treatment NN cord-018142-xt71w4nr 196 28 alone alone RB cord-018142-xt71w4nr 196 29 ) ) -RRB- cord-018142-xt71w4nr 196 30 . . . cord-018142-xt71w4nr 197 1 Plasma plasma NN cord-018142-xt71w4nr 197 2 therapy therapy NN cord-018142-xt71w4nr 197 3 must must MD cord-018142-xt71w4nr 197 4 be be VB cord-018142-xt71w4nr 197 5 urgently urgently RB cord-018142-xt71w4nr 197 6 initiated initiate VBN cord-018142-xt71w4nr 197 7 in in IN cord-018142-xt71w4nr 197 8 patients patient NNS cord-018142-xt71w4nr 197 9 with with IN cord-018142-xt71w4nr 197 10 TTP TTP NNP cord-018142-xt71w4nr 197 11 , , , cord-018142-xt71w4nr 197 12 as as IN cord-018142-xt71w4nr 197 13 its -PRON- PRP$ cord-018142-xt71w4nr 197 14 efficacy efficacy NN cord-018142-xt71w4nr 197 15 in in IN cord-018142-xt71w4nr 197 16 terms term NNS cord-018142-xt71w4nr 197 17 of of IN cord-018142-xt71w4nr 197 18 survival survival NN cord-018142-xt71w4nr 197 19 has have VBZ cord-018142-xt71w4nr 197 20 been be VBN cord-018142-xt71w4nr 197 21 demonstrated demonstrate VBN cord-018142-xt71w4nr 197 22 . . . cord-018142-xt71w4nr 198 1 Plasma plasma NN cord-018142-xt71w4nr 198 2 therapy therapy NN cord-018142-xt71w4nr 198 3 is be VBZ cord-018142-xt71w4nr 198 4 used use VBN cord-018142-xt71w4nr 198 5 in in IN cord-018142-xt71w4nr 198 6 adults adult NNS cord-018142-xt71w4nr 198 7 with with IN cord-018142-xt71w4nr 198 8 HUS HUS NNP cord-018142-xt71w4nr 198 9 by by IN cord-018142-xt71w4nr 198 10 analogy analogy NN cord-018142-xt71w4nr 198 11 with with IN cord-018142-xt71w4nr 198 12 the the DT cord-018142-xt71w4nr 198 13 management management NN cord-018142-xt71w4nr 198 14 with with IN cord-018142-xt71w4nr 198 15 TTP TTP NNP cord-018142-xt71w4nr 198 16 , , , cord-018142-xt71w4nr 198 17 although although IN cord-018142-xt71w4nr 198 18 no no DT cord-018142-xt71w4nr 198 19 studies study NNS cord-018142-xt71w4nr 198 20 are be VBP cord-018142-xt71w4nr 198 21 in in IN cord-018142-xt71w4nr 198 22 favor favor NN cord-018142-xt71w4nr 198 23 of of IN cord-018142-xt71w4nr 198 24 either either DT cord-018142-xt71w4nr 198 25 plasma plasma NN cord-018142-xt71w4nr 198 26 exchange exchange NN cord-018142-xt71w4nr 198 27 or or CC cord-018142-xt71w4nr 198 28 FFP FFP NNP cord-018142-xt71w4nr 198 29 transfusion transfusion NN cord-018142-xt71w4nr 198 30 . . . cord-018142-xt71w4nr 199 1 It -PRON- PRP cord-018142-xt71w4nr 199 2 is be VBZ cord-018142-xt71w4nr 199 3 essential essential JJ cord-018142-xt71w4nr 199 4 to to TO cord-018142-xt71w4nr 199 5 control control VB cord-018142-xt71w4nr 199 6 underlying underlying JJ cord-018142-xt71w4nr 199 7 predisposing predispose VBG cord-018142-xt71w4nr 199 8 factors factor NNS cord-018142-xt71w4nr 199 9 . . . cord-018142-xt71w4nr 200 1 Fresh fresh JJ cord-018142-xt71w4nr 200 2 frozen frozen JJ cord-018142-xt71w4nr 200 3 plasma plasma NN cord-018142-xt71w4nr 200 4 transfusion transfusion NN cord-018142-xt71w4nr 200 5 or or CC cord-018142-xt71w4nr 200 6 plasma plasma NN cord-018142-xt71w4nr 200 7 exchange exchange NN cord-018142-xt71w4nr 200 8 ? ? . cord-018142-xt71w4nr 201 1 Recent recent JJ cord-018142-xt71w4nr 201 2 studies study NNS cord-018142-xt71w4nr 201 3 have have VBP cord-018142-xt71w4nr 201 4 demonstrated demonstrate VBN cord-018142-xt71w4nr 201 5 the the DT cord-018142-xt71w4nr 201 6 superiority superiority NN cord-018142-xt71w4nr 201 7 of of IN cord-018142-xt71w4nr 201 8 plasma plasma NN cord-018142-xt71w4nr 201 9 exchange exchange NN cord-018142-xt71w4nr 201 10 over over IN cord-018142-xt71w4nr 201 11 FFP FFP NNP cord-018142-xt71w4nr 201 12 transfusion transfusion NN cord-018142-xt71w4nr 201 13 in in IN cord-018142-xt71w4nr 201 14 terms term NNS cord-018142-xt71w4nr 201 15 of of IN cord-018142-xt71w4nr 201 16 survival survival NN cord-018142-xt71w4nr 201 17 and and CC cord-018142-xt71w4nr 201 18 response response NN cord-018142-xt71w4nr 201 19 to to IN cord-018142-xt71w4nr 201 20 treatment treatment NN cord-018142-xt71w4nr 201 21 of of IN cord-018142-xt71w4nr 201 22 TTP TTP NNP cord-018142-xt71w4nr 201 23 [ [ -LRB- cord-018142-xt71w4nr 201 24 36 36 CD cord-018142-xt71w4nr 201 25 ] ] -RRB- cord-018142-xt71w4nr 201 26 . . . cord-018142-xt71w4nr 202 1 The the DT cord-018142-xt71w4nr 202 2 use use NN cord-018142-xt71w4nr 202 3 of of IN cord-018142-xt71w4nr 202 4 plasma plasma NN cord-018142-xt71w4nr 202 5 exchange exchange NN cord-018142-xt71w4nr 202 6 is be VBZ cord-018142-xt71w4nr 202 7 independently independently RB cord-018142-xt71w4nr 202 8 correlated correlate VBN cord-018142-xt71w4nr 202 9 with with IN cord-018142-xt71w4nr 202 10 survival survival NN cord-018142-xt71w4nr 202 11 . . . cord-018142-xt71w4nr 203 1 The the DT cord-018142-xt71w4nr 203 2 efficacy efficacy NN cord-018142-xt71w4nr 203 3 of of IN cord-018142-xt71w4nr 203 4 plasma plasma NN cord-018142-xt71w4nr 203 5 exchange exchange NN cord-018142-xt71w4nr 203 6 depends depend VBZ cord-018142-xt71w4nr 203 7 on on IN cord-018142-xt71w4nr 203 8 the the DT cord-018142-xt71w4nr 203 9 volume volume NN cord-018142-xt71w4nr 203 10 of of IN cord-018142-xt71w4nr 203 11 plasma plasma NN cord-018142-xt71w4nr 203 12 administered administer VBN cord-018142-xt71w4nr 203 13 to to IN cord-018142-xt71w4nr 203 14 the the DT cord-018142-xt71w4nr 203 15 patient patient NN cord-018142-xt71w4nr 203 16 ( ( -LRB- cord-018142-xt71w4nr 203 17 plasma plasma NN cord-018142-xt71w4nr 203 18 exchange exchange NN cord-018142-xt71w4nr 203 19 is be VBZ cord-018142-xt71w4nr 203 20 able able JJ cord-018142-xt71w4nr 203 21 to to TO cord-018142-xt71w4nr 203 22 administer administer VB cord-018142-xt71w4nr 203 23 three three CD cord-018142-xt71w4nr 203 24 times time NNS cord-018142-xt71w4nr 203 25 more more JJR cord-018142-xt71w4nr 203 26 plasma plasma NN cord-018142-xt71w4nr 203 27 than than IN cord-018142-xt71w4nr 203 28 FFP FFP NNP cord-018142-xt71w4nr 203 29 transfusion transfusion NN cord-018142-xt71w4nr 203 30 alone alone RB cord-018142-xt71w4nr 203 31 [ [ -LRB- cord-018142-xt71w4nr 203 32 11 11 CD cord-018142-xt71w4nr 203 33 ] ] -RRB- cord-018142-xt71w4nr 203 34 ) ) -RRB- cord-018142-xt71w4nr 203 35 . . . cord-018142-xt71w4nr 204 1 Two two CD cord-018142-xt71w4nr 204 2 pathophysiological pathophysiological JJ cord-018142-xt71w4nr 204 3 mechanisms mechanism NNS cord-018142-xt71w4nr 204 4 can can MD cord-018142-xt71w4nr 204 5 explain explain VB cord-018142-xt71w4nr 204 6 the the DT cord-018142-xt71w4nr 204 7 efficacy efficacy NN cord-018142-xt71w4nr 204 8 of of IN cord-018142-xt71w4nr 204 9 plasma plasma NN cord-018142-xt71w4nr 204 10 exchange exchange NN cord-018142-xt71w4nr 204 11 : : : cord-018142-xt71w4nr 204 12 plasma plasma NN cord-018142-xt71w4nr 204 13 exchange exchange NN cord-018142-xt71w4nr 204 14 removes remove VBZ cord-018142-xt71w4nr 204 15 a`pathogenic a`pathogenic DT cord-018142-xt71w4nr 204 16 ' ' `` cord-018142-xt71w4nr 204 17 component component NN cord-018142-xt71w4nr 204 18 from from IN cord-018142-xt71w4nr 204 19 the the DT cord-018142-xt71w4nr 204 20 patient patient NN cord-018142-xt71w4nr 204 21 's 's POS cord-018142-xt71w4nr 204 22 plasma plasma NN cord-018142-xt71w4nr 204 23 ( ( -LRB- cord-018142-xt71w4nr 204 24 ULvWF ULvWF NNP cord-018142-xt71w4nr 204 25 or or CC cord-018142-xt71w4nr 204 26 auto auto NN cord-018142-xt71w4nr 204 27 - - HYPH cord-018142-xt71w4nr 204 28 antibodies antibody NNS cord-018142-xt71w4nr 204 29 ) ) -RRB- cord-018142-xt71w4nr 204 30 and and CC cord-018142-xt71w4nr 204 31 compensates compensate VBZ cord-018142-xt71w4nr 204 32 for for IN cord-018142-xt71w4nr 204 33 the the DT cord-018142-xt71w4nr 204 34 deficient deficient JJ cord-018142-xt71w4nr 204 35 protease protease NN cord-018142-xt71w4nr 204 36 ( ( -LRB- cord-018142-xt71w4nr 204 37 by by IN cord-018142-xt71w4nr 204 38 providing provide VBG cord-018142-xt71w4nr 204 39 large large JJ cord-018142-xt71w4nr 204 40 quantities quantity NNS cord-018142-xt71w4nr 204 41 of of IN cord-018142-xt71w4nr 204 42 plasma plasma NN cord-018142-xt71w4nr 204 43 ) ) -RRB- cord-018142-xt71w4nr 204 44 . . . cord-018142-xt71w4nr 205 1 In in IN cord-018142-xt71w4nr 205 2 cases case NNS cord-018142-xt71w4nr 205 3 of of IN cord-018142-xt71w4nr 205 4 TTP TTP NNP cord-018142-xt71w4nr 205 5 not not RB cord-018142-xt71w4nr 205 6 associated associate VBN cord-018142-xt71w4nr 205 7 with with IN cord-018142-xt71w4nr 205 8 an an DT cord-018142-xt71w4nr 205 9 inhibitor inhibitor NN cord-018142-xt71w4nr 205 10 , , , cord-018142-xt71w4nr 205 11 FFP FFP NNP cord-018142-xt71w4nr 205 12 transfusions transfusion NNS cord-018142-xt71w4nr 205 13 may may MD cord-018142-xt71w4nr 205 14 be be VB cord-018142-xt71w4nr 205 15 sufficient sufficient JJ cord-018142-xt71w4nr 205 16 . . . cord-018142-xt71w4nr 206 1 When when WRB cord-018142-xt71w4nr 206 2 plasma plasma NN cord-018142-xt71w4nr 206 3 exchange exchange NN cord-018142-xt71w4nr 206 4 can can MD cord-018142-xt71w4nr 206 5 not not RB cord-018142-xt71w4nr 206 6 be be VB cord-018142-xt71w4nr 206 7 started start VBN cord-018142-xt71w4nr 206 8 immediately immediately RB cord-018142-xt71w4nr 206 9 ( ( -LRB- cord-018142-xt71w4nr 206 10 for for IN cord-018142-xt71w4nr 206 11 technical technical JJ cord-018142-xt71w4nr 206 12 reasons reason NNS cord-018142-xt71w4nr 206 13 , , , cord-018142-xt71w4nr 206 14 or or CC cord-018142-xt71w4nr 206 15 while while IN cord-018142-xt71w4nr 206 16 waiting wait VBG cord-018142-xt71w4nr 206 17 for for IN cord-018142-xt71w4nr 206 18 transfer transfer NN cord-018142-xt71w4nr 206 19 to to IN cord-018142-xt71w4nr 206 20 a a DT cord-018142-xt71w4nr 206 21 specialized specialized JJ cord-018142-xt71w4nr 206 22 center center NN cord-018142-xt71w4nr 206 23 ) ) -RRB- cord-018142-xt71w4nr 206 24 , , , cord-018142-xt71w4nr 206 25 large large JJ cord-018142-xt71w4nr 206 26 - - HYPH cord-018142-xt71w4nr 206 27 volume volume NN cord-018142-xt71w4nr 206 28 FFP FFP NNP cord-018142-xt71w4nr 206 29 transfusion transfusion NN cord-018142-xt71w4nr 206 30 ( ( -LRB- cord-018142-xt71w4nr 206 31 20 20 CD cord-018142-xt71w4nr 206 32 to to TO cord-018142-xt71w4nr 206 33 30 30 CD cord-018142-xt71w4nr 206 34 ml ml NNS cord-018142-xt71w4nr 206 35 / / SYM cord-018142-xt71w4nr 206 36 kg kg NNP cord-018142-xt71w4nr 206 37 / / SYM cord-018142-xt71w4nr 206 38 day day NN cord-018142-xt71w4nr 206 39 ) ) -RRB- cord-018142-xt71w4nr 206 40 can can MD cord-018142-xt71w4nr 206 41 be be VB cord-018142-xt71w4nr 206 42 started start VBN cord-018142-xt71w4nr 206 43 prior prior RB cord-018142-xt71w4nr 206 44 to to IN cord-018142-xt71w4nr 206 45 plasma plasma NN cord-018142-xt71w4nr 206 46 exchange exchange NN cord-018142-xt71w4nr 206 47 , , , cord-018142-xt71w4nr 206 48 but but CC cord-018142-xt71w4nr 206 49 it -PRON- PRP cord-018142-xt71w4nr 206 50 is be VBZ cord-018142-xt71w4nr 206 51 associated associate VBN cord-018142-xt71w4nr 206 52 with with IN cord-018142-xt71w4nr 206 53 a a DT cord-018142-xt71w4nr 206 54 risk risk NN cord-018142-xt71w4nr 206 55 of of IN cord-018142-xt71w4nr 206 56 fluid fluid JJ cord-018142-xt71w4nr 206 57 overload overload NN cord-018142-xt71w4nr 206 58 , , , cord-018142-xt71w4nr 206 59 protein protein NN cord-018142-xt71w4nr 206 60 - - HYPH cord-018142-xt71w4nr 206 61 overload overload NN cord-018142-xt71w4nr 206 62 proteinuria proteinuria NN cord-018142-xt71w4nr 206 63 , , , cord-018142-xt71w4nr 206 64 hyperproteinemia hyperproteinemia NN cord-018142-xt71w4nr 206 65 , , , cord-018142-xt71w4nr 206 66 and and CC cord-018142-xt71w4nr 206 67 hyperviscosity hyperviscosity NN cord-018142-xt71w4nr 206 68 syndrome syndrome NN cord-018142-xt71w4nr 206 69 . . . cord-018142-xt71w4nr 207 1 The the DT cord-018142-xt71w4nr 207 2 raised raise VBN cord-018142-xt71w4nr 207 3 oncotic oncotic JJ cord-018142-xt71w4nr 207 4 pressure pressure NN cord-018142-xt71w4nr 207 5 can can MD cord-018142-xt71w4nr 207 6 also also RB cord-018142-xt71w4nr 207 7 accentuate accentuate VB cord-018142-xt71w4nr 207 8 renal renal JJ cord-018142-xt71w4nr 207 9 insufficiency insufficiency NN cord-018142-xt71w4nr 207 10 . . . cord-018142-xt71w4nr 208 1 The the DT cord-018142-xt71w4nr 208 2 plasma plasma NN cord-018142-xt71w4nr 208 3 exchange exchange NN cord-018142-xt71w4nr 208 4 technique technique NN cord-018142-xt71w4nr 208 5 is be VBZ cord-018142-xt71w4nr 208 6 based base VBN cord-018142-xt71w4nr 208 7 on on IN cord-018142-xt71w4nr 208 8 the the DT cord-018142-xt71w4nr 208 9 daily daily JJ cord-018142-xt71w4nr 208 10 exchange exchange NN cord-018142-xt71w4nr 208 11 of of IN cord-018142-xt71w4nr 208 12 one one CD cord-018142-xt71w4nr 208 13 to to TO cord-018142-xt71w4nr 208 14 two two CD cord-018142-xt71w4nr 208 15 plasma plasma NN cord-018142-xt71w4nr 208 16 masses masse NNS cord-018142-xt71w4nr 208 17 fully fully RB cord-018142-xt71w4nr 208 18 compensated compensate VBN cord-018142-xt71w4nr 208 19 by by IN cord-018142-xt71w4nr 208 20 FFP FFP NNP cord-018142-xt71w4nr 208 21 . . . cord-018142-xt71w4nr 209 1 A a DT cord-018142-xt71w4nr 209 2 plasma plasma NN cord-018142-xt71w4nr 209 3 exchange exchange NN cord-018142-xt71w4nr 209 4 session session NN cord-018142-xt71w4nr 209 5 lasts last VBZ cord-018142-xt71w4nr 209 6 about about RB cord-018142-xt71w4nr 209 7 3 3 CD cord-018142-xt71w4nr 209 8 hours hour NNS cord-018142-xt71w4nr 209 9 for for IN cord-018142-xt71w4nr 209 10 50 50 CD cord-018142-xt71w4nr 209 11 to to TO cord-018142-xt71w4nr 209 12 80 80 CD cord-018142-xt71w4nr 209 13 ml ml NNS cord-018142-xt71w4nr 209 14 / / SYM cord-018142-xt71w4nr 209 15 kg kg NNS cord-018142-xt71w4nr 209 16 of of IN cord-018142-xt71w4nr 209 17 FFP FFP NNP cord-018142-xt71w4nr 209 18 . . . cord-018142-xt71w4nr 210 1 It -PRON- PRP cord-018142-xt71w4nr 210 2 is be VBZ cord-018142-xt71w4nr 210 3 performed perform VBN cord-018142-xt71w4nr 210 4 via via IN cord-018142-xt71w4nr 210 5 a a DT cord-018142-xt71w4nr 210 6 central central JJ cord-018142-xt71w4nr 210 7 venous venous JJ cord-018142-xt71w4nr 210 8 catheter catheter NN cord-018142-xt71w4nr 210 9 , , , cord-018142-xt71w4nr 210 10 rarely rarely RB cord-018142-xt71w4nr 210 11 placed place VBN cord-018142-xt71w4nr 210 12 in in IN cord-018142-xt71w4nr 210 13 a a DT cord-018142-xt71w4nr 210 14 subclavian subclavian JJ cord-018142-xt71w4nr 210 15 vein vein NN cord-018142-xt71w4nr 210 16 due due IN cord-018142-xt71w4nr 210 17 to to IN cord-018142-xt71w4nr 210 18 the the DT cord-018142-xt71w4nr 210 19 risk risk NN cord-018142-xt71w4nr 210 20 of of IN cord-018142-xt71w4nr 210 21 bleeding bleed VBG cord-018142-xt71w4nr 210 22 , , , cord-018142-xt71w4nr 210 23 and and CC cord-018142-xt71w4nr 210 24 requires require VBZ cord-018142-xt71w4nr 210 25 anticoagulation anticoagulation NN cord-018142-xt71w4nr 210 26 at at IN cord-018142-xt71w4nr 210 27 effective effective JJ cord-018142-xt71w4nr 210 28 doses dose NNS cord-018142-xt71w4nr 210 29 during during IN cord-018142-xt71w4nr 210 30 the the DT cord-018142-xt71w4nr 210 31 session session NN cord-018142-xt71w4nr 210 32 . . . cord-018142-xt71w4nr 211 1 A a DT cord-018142-xt71w4nr 211 2 systematic systematic JJ cord-018142-xt71w4nr 211 3 calcium calcium NN cord-018142-xt71w4nr 211 4 supplement supplement NN cord-018142-xt71w4nr 211 5 is be VBZ cord-018142-xt71w4nr 211 6 started start VBN cord-018142-xt71w4nr 211 7 during during IN cord-018142-xt71w4nr 211 8 plasma plasma NN cord-018142-xt71w4nr 211 9 exchange exchange NN cord-018142-xt71w4nr 211 10 ( ( -LRB- cord-018142-xt71w4nr 211 11 risk risk NN cord-018142-xt71w4nr 211 12 of of IN cord-018142-xt71w4nr 211 13 hypocalcemia hypocalcemia NN cord-018142-xt71w4nr 211 14 due due IN cord-018142-xt71w4nr 211 15 to to IN cord-018142-xt71w4nr 211 16 the the DT cord-018142-xt71w4nr 211 17 toxicity toxicity NN cord-018142-xt71w4nr 211 18 of of IN cord-018142-xt71w4nr 211 19 citrate citrate NN cord-018142-xt71w4nr 211 20 ) ) -RRB- cord-018142-xt71w4nr 211 21 . . . cord-018142-xt71w4nr 212 1 Plasma plasma NN cord-018142-xt71w4nr 212 2 exchange exchange NN cord-018142-xt71w4nr 212 3 is be VBZ cord-018142-xt71w4nr 212 4 time time NN cord-018142-xt71w4nr 212 5 - - HYPH cord-018142-xt71w4nr 212 6 consuming consume VBG cord-018142-xt71w4nr 212 7 , , , cord-018142-xt71w4nr 212 8 expensive expensive JJ cord-018142-xt71w4nr 212 9 and and CC cord-018142-xt71w4nr 212 10 invasive invasive JJ cord-018142-xt71w4nr 212 11 and and CC cord-018142-xt71w4nr 212 12 carries carry VBZ cord-018142-xt71w4nr 212 13 a a DT cord-018142-xt71w4nr 212 14 risk risk NN cord-018142-xt71w4nr 212 15 of of IN cord-018142-xt71w4nr 212 16 immunological immunological JJ cord-018142-xt71w4nr 212 17 pulmonary pulmonary JJ cord-018142-xt71w4nr 212 18 edema edema NN cord-018142-xt71w4nr 212 19 ( ( -LRB- cord-018142-xt71w4nr 212 20 almost almost RB cord-018142-xt71w4nr 212 21 eliminated eliminate VBN cord-018142-xt71w4nr 212 22 by by IN cord-018142-xt71w4nr 212 23 solvent solvent NN cord-018142-xt71w4nr 212 24 / / SYM cord-018142-xt71w4nr 212 25 detergenttreated detergenttreated JJ cord-018142-xt71w4nr 212 26 plasma plasma NN cord-018142-xt71w4nr 212 27 ) ) -RRB- cord-018142-xt71w4nr 212 28 . . . cord-018142-xt71w4nr 213 1 The the DT cord-018142-xt71w4nr 213 2 duration duration NN cord-018142-xt71w4nr 213 3 of of IN cord-018142-xt71w4nr 213 4 treatment treatment NN cord-018142-xt71w4nr 213 5 is be VBZ cord-018142-xt71w4nr 213 6 variable variable JJ cord-018142-xt71w4nr 213 7 . . . cord-018142-xt71w4nr 214 1 Plasma plasma NN cord-018142-xt71w4nr 214 2 exchange exchange NN cord-018142-xt71w4nr 214 3 is be VBZ cord-018142-xt71w4nr 214 4 continued continue VBN cord-018142-xt71w4nr 214 5 daily daily RB cord-018142-xt71w4nr 214 6 until until IN cord-018142-xt71w4nr 214 7 restoration restoration NN cord-018142-xt71w4nr 214 8 of of IN cord-018142-xt71w4nr 214 9 a a DT cord-018142-xt71w4nr 214 10 normal normal JJ cord-018142-xt71w4nr 214 11 platelet platelet NN cord-018142-xt71w4nr 214 12 count count NN cord-018142-xt71w4nr 214 13 ( ( -LRB- cord-018142-xt71w4nr 214 14 > > NFP cord-018142-xt71w4nr 214 15 150,000 150,000 CD cord-018142-xt71w4nr 214 16 / / SYM cord-018142-xt71w4nr 214 17 mm mm NN cord-018142-xt71w4nr 214 18 3 3 CD cord-018142-xt71w4nr 214 19 ) ) -RRB- cord-018142-xt71w4nr 214 20 for for IN cord-018142-xt71w4nr 214 21 at at RB cord-018142-xt71w4nr 214 22 least least RBS cord-018142-xt71w4nr 214 23 48 48 CD cord-018142-xt71w4nr 214 24 hours hour NNS cord-018142-xt71w4nr 214 25 with with IN cord-018142-xt71w4nr 214 26 a a DT cord-018142-xt71w4nr 214 27 reduction reduction NN cord-018142-xt71w4nr 214 28 in in IN cord-018142-xt71w4nr 214 29 LDH LDH NNP cord-018142-xt71w4nr 214 30 levels level NNS cord-018142-xt71w4nr 214 31 and and CC cord-018142-xt71w4nr 214 32 reticulocyte reticulocyte NN cord-018142-xt71w4nr 214 33 counts count NNS cord-018142-xt71w4nr 214 34 . . . cord-018142-xt71w4nr 215 1 The the DT cord-018142-xt71w4nr 215 2 frequency frequency NN cord-018142-xt71w4nr 215 3 of of IN cord-018142-xt71w4nr 215 4 plasma plasma NN cord-018142-xt71w4nr 215 5 exchange exchange NN cord-018142-xt71w4nr 215 6 must must MD cord-018142-xt71w4nr 215 7 be be VB cord-018142-xt71w4nr 215 8 progressively progressively RB cord-018142-xt71w4nr 215 9 decreased decrease VBN cord-018142-xt71w4nr 215 10 . . . cord-018142-xt71w4nr 216 1 Daily Daily NNP cord-018142-xt71w4nr 216 2 plasma plasma NN cord-018142-xt71w4nr 216 3 exchange exchange NN cord-018142-xt71w4nr 216 4 must must MD cord-018142-xt71w4nr 216 5 be be VB cord-018142-xt71w4nr 216 6 reintroduced reintroduce VBN cord-018142-xt71w4nr 216 7 at at IN cord-018142-xt71w4nr 216 8 the the DT cord-018142-xt71w4nr 216 9 slightest slight JJS cord-018142-xt71w4nr 216 10 sign sign NN cord-018142-xt71w4nr 216 11 of of IN cord-018142-xt71w4nr 216 12 relapse relapse NN cord-018142-xt71w4nr 216 13 . . . cord-018142-xt71w4nr 217 1 In in IN cord-018142-xt71w4nr 217 2 the the DT cord-018142-xt71w4nr 217 3 future future NN cord-018142-xt71w4nr 217 4 , , , cord-018142-xt71w4nr 217 5 monitoring monitoring NN cord-018142-xt71w4nr 217 6 of of IN cord-018142-xt71w4nr 217 7 ADAMTS-13 adamts-13 ADD cord-018142-xt71w4nr 217 8 protein protein NN cord-018142-xt71w4nr 217 9 inhibitor inhibitor NN cord-018142-xt71w4nr 217 10 levels level NNS cord-018142-xt71w4nr 217 11 could could MD cord-018142-xt71w4nr 217 12 guide guide VB cord-018142-xt71w4nr 217 13 the the DT cord-018142-xt71w4nr 217 14 frequency frequency NN cord-018142-xt71w4nr 217 15 of of IN cord-018142-xt71w4nr 217 16 plasma plasma NN cord-018142-xt71w4nr 217 17 exchange exchange NN cord-018142-xt71w4nr 217 18 . . . cord-018142-xt71w4nr 218 1 During during IN cord-018142-xt71w4nr 218 2 relapses relapse NNS cord-018142-xt71w4nr 218 3 ( ( -LRB- cord-018142-xt71w4nr 218 4 30 30 CD cord-018142-xt71w4nr 218 5 % % NN cord-018142-xt71w4nr 218 6 of of IN cord-018142-xt71w4nr 218 7 cases case NNS cord-018142-xt71w4nr 218 8 of of IN cord-018142-xt71w4nr 218 9 TTP TTP NNP cord-018142-xt71w4nr 218 10 ) ) -RRB- cord-018142-xt71w4nr 218 11 , , , cord-018142-xt71w4nr 218 12 the the DT cord-018142-xt71w4nr 218 13 initial initial JJ cord-018142-xt71w4nr 218 14 treatment treatment NN cord-018142-xt71w4nr 218 15 in in IN cord-018142-xt71w4nr 218 16 the the DT cord-018142-xt71w4nr 218 17 acute acute JJ cord-018142-xt71w4nr 218 18 phase phase NN cord-018142-xt71w4nr 218 19 is be VBZ cord-018142-xt71w4nr 218 20 the the DT cord-018142-xt71w4nr 218 21 same same JJ cord-018142-xt71w4nr 218 22 as as IN cord-018142-xt71w4nr 218 23 for for IN cord-018142-xt71w4nr 218 24 the the DT cord-018142-xt71w4nr 218 25 first first JJ cord-018142-xt71w4nr 218 26 episode episode NN cord-018142-xt71w4nr 218 27 . . . cord-018142-xt71w4nr 219 1 Repeated repeat VBN cord-018142-xt71w4nr 219 2 relapses relapse NNS cord-018142-xt71w4nr 219 3 may may MD cord-018142-xt71w4nr 219 4 represent represent VB cord-018142-xt71w4nr 219 5 an an DT cord-018142-xt71w4nr 219 6 indication indication NN cord-018142-xt71w4nr 219 7 for for IN cord-018142-xt71w4nr 219 8 splenectomy splenectomy NN cord-018142-xt71w4nr 219 9 , , , cord-018142-xt71w4nr 219 10 during during IN cord-018142-xt71w4nr 219 11 a a DT cord-018142-xt71w4nr 219 12 period period NN cord-018142-xt71w4nr 219 13 of of IN cord-018142-xt71w4nr 219 14 remission remission NN cord-018142-xt71w4nr 219 15 . . . cord-018142-xt71w4nr 220 1 Refractory refractory JJ cord-018142-xt71w4nr 220 2 TTP TTP NNP cord-018142-xt71w4nr 220 3 , , , cord-018142-xt71w4nr 220 4 defined define VBN cord-018142-xt71w4nr 220 5 by by IN cord-018142-xt71w4nr 220 6 no no DT cord-018142-xt71w4nr 220 7 improvement improvement NN cord-018142-xt71w4nr 220 8 of of IN cord-018142-xt71w4nr 220 9 the the DT cord-018142-xt71w4nr 220 10 platelet platelet NN cord-018142-xt71w4nr 220 11 count count NN cord-018142-xt71w4nr 220 12 on on IN cord-018142-xt71w4nr 220 13 day day NN cord-018142-xt71w4nr 220 14 5 5 CD cord-018142-xt71w4nr 220 15 of of IN cord-018142-xt71w4nr 220 16 treatment treatment NN cord-018142-xt71w4nr 220 17 , , , cord-018142-xt71w4nr 220 18 requires require VBZ cord-018142-xt71w4nr 220 19 twice twice RB cord-018142-xt71w4nr 220 20 - - HYPH cord-018142-xt71w4nr 220 21 daily daily JJ cord-018142-xt71w4nr 220 22 plasma plasma NN cord-018142-xt71w4nr 220 23 exchange exchange NN cord-018142-xt71w4nr 220 24 and and CC cord-018142-xt71w4nr 220 25 adjuvant adjuvant JJ cord-018142-xt71w4nr 220 26 therapies therapy NNS cord-018142-xt71w4nr 220 27 ( ( -LRB- cord-018142-xt71w4nr 220 28 vincristine vincristine NN cord-018142-xt71w4nr 220 29 , , , cord-018142-xt71w4nr 220 30 polyvalent polyvalent JJ cord-018142-xt71w4nr 220 31 immunoglobulins immunoglobulin NNS cord-018142-xt71w4nr 220 32 , , , cord-018142-xt71w4nr 220 33 cyclophosphamide cyclophosphamide RB cord-018142-xt71w4nr 220 34 : : : cord-018142-xt71w4nr 220 35 see see VB cord-018142-xt71w4nr 220 36 below below RB cord-018142-xt71w4nr 220 37 ) ) -RRB- cord-018142-xt71w4nr 220 38 [ [ -LRB- cord-018142-xt71w4nr 220 39 38 38 CD cord-018142-xt71w4nr 220 40 , , , cord-018142-xt71w4nr 220 41 39 39 CD cord-018142-xt71w4nr 220 42 ] ] -RRB- cord-018142-xt71w4nr 220 43 . . . cord-018142-xt71w4nr 221 1 High high JJ cord-018142-xt71w4nr 221 2 - - HYPH cord-018142-xt71w4nr 221 3 dose dose NN cord-018142-xt71w4nr 221 4 corticosteroid corticosteroid NN cord-018142-xt71w4nr 221 5 therapy therapy NN cord-018142-xt71w4nr 221 6 is be VBZ cord-018142-xt71w4nr 221 7 effective effective JJ cord-018142-xt71w4nr 221 8 in in IN cord-018142-xt71w4nr 221 9 56 56 CD cord-018142-xt71w4nr 221 10 % % NN cord-018142-xt71w4nr 221 11 of of IN cord-018142-xt71w4nr 221 12 purely purely RB cord-018142-xt71w4nr 221 13 hematological hematological JJ cord-018142-xt71w4nr 221 14 forms form NNS cord-018142-xt71w4nr 221 15 of of IN cord-018142-xt71w4nr 221 16 TTP TTP NNP cord-018142-xt71w4nr 221 17 [ [ -LRB- cord-018142-xt71w4nr 221 18 31 31 CD cord-018142-xt71w4nr 221 19 ] ] -RRB- cord-018142-xt71w4nr 221 20 , , , cord-018142-xt71w4nr 221 21 although although IN cord-018142-xt71w4nr 221 22 its -PRON- PRP$ cord-018142-xt71w4nr 221 23 efficacy efficacy NN cord-018142-xt71w4nr 221 24 has have VBZ cord-018142-xt71w4nr 221 25 not not RB cord-018142-xt71w4nr 221 26 been be VBN cord-018142-xt71w4nr 221 27 clearly clearly RB cord-018142-xt71w4nr 221 28 demonstrated demonstrate VBN cord-018142-xt71w4nr 221 29 by by IN cord-018142-xt71w4nr 221 30 randomized randomized JJ cord-018142-xt71w4nr 221 31 trials trial NNS cord-018142-xt71w4nr 221 32 . . . cord-018142-xt71w4nr 222 1 In in IN cord-018142-xt71w4nr 222 2 the the DT cord-018142-xt71w4nr 222 3 absence absence NN cord-018142-xt71w4nr 222 4 of of IN cord-018142-xt71w4nr 222 5 a a DT cord-018142-xt71w4nr 222 6 contraindication contraindication NN cord-018142-xt71w4nr 222 7 ( ( -LRB- cord-018142-xt71w4nr 222 8 active active JJ cord-018142-xt71w4nr 222 9 infection infection NN cord-018142-xt71w4nr 222 10 ) ) -RRB- cord-018142-xt71w4nr 222 11 , , , cord-018142-xt71w4nr 222 12 and and CC cord-018142-xt71w4nr 222 13 despite despite IN cord-018142-xt71w4nr 222 14 a a DT cord-018142-xt71w4nr 222 15 low low JJ cord-018142-xt71w4nr 222 16 level level NN cord-018142-xt71w4nr 222 17 of of IN cord-018142-xt71w4nr 222 18 evidence evidence NN cord-018142-xt71w4nr 222 19 , , , cord-018142-xt71w4nr 222 20 methylprednisolone methylprednisolone NNP cord-018142-xt71w4nr 222 21 ( ( -LRB- cord-018142-xt71w4nr 222 22 1 1 CD cord-018142-xt71w4nr 222 23 mg mg NNP cord-018142-xt71w4nr 222 24 / / SYM cord-018142-xt71w4nr 222 25 kg kg NNP cord-018142-xt71w4nr 222 26 / / SYM cord-018142-xt71w4nr 222 27 day day NN cord-018142-xt71w4nr 222 28 for for IN cord-018142-xt71w4nr 222 29 3 3 CD cord-018142-xt71w4nr 222 30 weeks week NNS cord-018142-xt71w4nr 222 31 ) ) -RRB- cord-018142-xt71w4nr 222 32 can can MD cord-018142-xt71w4nr 222 33 be be VB cord-018142-xt71w4nr 222 34 administered administer VBN cord-018142-xt71w4nr 222 35 immediately immediately RB cord-018142-xt71w4nr 222 36 following follow VBG cord-018142-xt71w4nr 222 37 plasma plasma NN cord-018142-xt71w4nr 222 38 exchange exchange NN cord-018142-xt71w4nr 222 39 . . . cord-018142-xt71w4nr 223 1 The the DT cord-018142-xt71w4nr 223 2 therapeutic therapeutic JJ cord-018142-xt71w4nr 223 3 value value NN cord-018142-xt71w4nr 223 4 of of IN cord-018142-xt71w4nr 223 5 platelet platelet NN cord-018142-xt71w4nr 223 6 aggregation aggregation NN cord-018142-xt71w4nr 223 7 inhibitors inhibitor NNS cord-018142-xt71w4nr 223 8 , , , cord-018142-xt71w4nr 223 9 vincristine vincristine NN cord-018142-xt71w4nr 223 10 , , , cord-018142-xt71w4nr 223 11 high high JJ cord-018142-xt71w4nr 223 12 - - HYPH cord-018142-xt71w4nr 223 13 dose dose NN cord-018142-xt71w4nr 223 14 immunoglobulins immunoglobulin NNS cord-018142-xt71w4nr 223 15 , , , cord-018142-xt71w4nr 223 16 splenectomy splenectomy NN cord-018142-xt71w4nr 223 17 , , , cord-018142-xt71w4nr 223 18 immunosuppressives immunosuppressive NNS cord-018142-xt71w4nr 223 19 , , , cord-018142-xt71w4nr 223 20 unfractionated unfractionated JJ cord-018142-xt71w4nr 223 21 heparin heparin NNP cord-018142-xt71w4nr 223 22 , , , cord-018142-xt71w4nr 223 23 fibri fibri NNP cord-018142-xt71w4nr 223 24 - - HYPH cord-018142-xt71w4nr 223 25 nolytics nolytics NNP cord-018142-xt71w4nr 223 26 , , , cord-018142-xt71w4nr 223 27 prostacyclin prostacyclin NNP cord-018142-xt71w4nr 223 28 , , , cord-018142-xt71w4nr 223 29 and and CC cord-018142-xt71w4nr 223 30 vitamin vitamin NN cord-018142-xt71w4nr 223 31 E e NN cord-018142-xt71w4nr 223 32 in in IN cord-018142-xt71w4nr 223 33 the the DT cord-018142-xt71w4nr 223 34 intensive intensive JJ cord-018142-xt71w4nr 223 35 care care NN cord-018142-xt71w4nr 223 36 management management NN cord-018142-xt71w4nr 223 37 of of IN cord-018142-xt71w4nr 223 38 TMA TMA NNP cord-018142-xt71w4nr 223 39 has have VBZ cord-018142-xt71w4nr 223 40 not not RB cord-018142-xt71w4nr 223 41 been be VBN cord-018142-xt71w4nr 223 42 demonstrated demonstrate VBN cord-018142-xt71w4nr 223 43 . . . cord-018142-xt71w4nr 224 1 Staphylococcal staphylococcal JJ cord-018142-xt71w4nr 224 2 protein protein NN cord-018142-xt71w4nr 224 3 A a DT cord-018142-xt71w4nr 224 4 columns column NNS cord-018142-xt71w4nr 224 5 could could MD cord-018142-xt71w4nr 224 6 be be VB cord-018142-xt71w4nr 224 7 effective effective JJ cord-018142-xt71w4nr 224 8 in in IN cord-018142-xt71w4nr 224 9 TTP TTP NNP cord-018142-xt71w4nr 224 10 , , , cord-018142-xt71w4nr 224 11 especially especially RB cord-018142-xt71w4nr 224 12 in in IN cord-018142-xt71w4nr 224 13 a a DT cord-018142-xt71w4nr 224 14 context context NN cord-018142-xt71w4nr 224 15 of of IN cord-018142-xt71w4nr 224 16 cancer cancer NN cord-018142-xt71w4nr 224 17 , , , cord-018142-xt71w4nr 224 18 but but CC cord-018142-xt71w4nr 224 19 they -PRON- PRP cord-018142-xt71w4nr 224 20 have have VBP cord-018142-xt71w4nr 224 21 not not RB cord-018142-xt71w4nr 224 22 been be VBN cord-018142-xt71w4nr 224 23 evaluated evaluate VBN cord-018142-xt71w4nr 224 24 in in IN cord-018142-xt71w4nr 224 25 patients patient NNS cord-018142-xt71w4nr 224 26 with with IN cord-018142-xt71w4nr 224 27 an an DT cord-018142-xt71w4nr 224 28 inhibitor inhibitor NN cord-018142-xt71w4nr 224 29 [ [ -LRB- cord-018142-xt71w4nr 224 30 40 40 CD cord-018142-xt71w4nr 224 31 ] ] -RRB- cord-018142-xt71w4nr 224 32 . . . cord-018142-xt71w4nr 225 1 A a DT cord-018142-xt71w4nr 225 2 possible possible JJ cord-018142-xt71w4nr 225 3 treatment treatment NN cord-018142-xt71w4nr 225 4 for for IN cord-018142-xt71w4nr 225 5 the the DT cord-018142-xt71w4nr 225 6 future future NN cord-018142-xt71w4nr 225 7 would would MD cord-018142-xt71w4nr 225 8 be be VB cord-018142-xt71w4nr 225 9 purified purify VBN cord-018142-xt71w4nr 225 10 or or CC cord-018142-xt71w4nr 225 11 recombinant recombinant JJ cord-018142-xt71w4nr 225 12 protease protease NN cord-018142-xt71w4nr 225 13 infusion infusion NN cord-018142-xt71w4nr 225 14 , , , cord-018142-xt71w4nr 225 15 which which WDT cord-018142-xt71w4nr 225 16 could could MD cord-018142-xt71w4nr 225 17 replace replace VB cord-018142-xt71w4nr 225 18 plasma plasma NN cord-018142-xt71w4nr 225 19 therapy therapy NN cord-018142-xt71w4nr 225 20 . . . cord-018142-xt71w4nr 226 1 z z LS cord-018142-xt71w4nr 226 2 Other other JJ cord-018142-xt71w4nr 226 3 TMA TMA NNP cord-018142-xt71w4nr 226 4 syndromes syndrome NNS cord-018142-xt71w4nr 227 1 Pregnancy pregnancy NN cord-018142-xt71w4nr 227 2 - - HYPH cord-018142-xt71w4nr 227 3 associated associate VBN cord-018142-xt71w4nr 227 4 TMA TMA NNP cord-018142-xt71w4nr 227 5 Various various JJ cord-018142-xt71w4nr 227 6 types type NNS cord-018142-xt71w4nr 227 7 of of IN cord-018142-xt71w4nr 227 8 TMA TMA NNP cord-018142-xt71w4nr 227 9 can can MD cord-018142-xt71w4nr 227 10 occur occur VB cord-018142-xt71w4nr 227 11 during during IN cord-018142-xt71w4nr 227 12 pregnancy pregnancy NN cord-018142-xt71w4nr 227 13 and and CC cord-018142-xt71w4nr 227 14 the the DT cord-018142-xt71w4nr 227 15 post post JJ cord-018142-xt71w4nr 227 16 - - JJ cord-018142-xt71w4nr 227 17 partum partum JJ cord-018142-xt71w4nr 227 18 period period NN cord-018142-xt71w4nr 227 19 : : : cord-018142-xt71w4nr 227 20 TTP TTP NNP cord-018142-xt71w4nr 227 21 , , , cord-018142-xt71w4nr 227 22 HUS HUS NNP cord-018142-xt71w4nr 227 23 , , , cord-018142-xt71w4nr 227 24 HELLP HELLP NNP cord-018142-xt71w4nr 227 25 syndrome syndrome NN cord-018142-xt71w4nr 227 26 . . . cord-018142-xt71w4nr 228 1 Many many JJ cord-018142-xt71w4nr 228 2 complications complication NNS cord-018142-xt71w4nr 228 3 have have VBP cord-018142-xt71w4nr 228 4 been be VBN cord-018142-xt71w4nr 228 5 described describe VBN cord-018142-xt71w4nr 228 6 including include VBG cord-018142-xt71w4nr 228 7 acute acute JJ cord-018142-xt71w4nr 228 8 necrotic necrotic JJ cord-018142-xt71w4nr 228 9 pancreatitis pancreatitis NN cord-018142-xt71w4nr 228 10 , , , cord-018142-xt71w4nr 228 11 myocardial myocardial JJ cord-018142-xt71w4nr 228 12 infarction infarction NN cord-018142-xt71w4nr 228 13 , , , cord-018142-xt71w4nr 228 14 gastrointestinal gastrointestinal JJ cord-018142-xt71w4nr 228 15 ischemia ischemia NN cord-018142-xt71w4nr 228 16 , , , cord-018142-xt71w4nr 228 17 etc etc FW cord-018142-xt71w4nr 228 18 . . . cord-018142-xt71w4nr 229 1 The the DT cord-018142-xt71w4nr 229 2 treatment treatment NN cord-018142-xt71w4nr 229 3 of of IN cord-018142-xt71w4nr 229 4 TTP ttp NN cord-018142-xt71w4nr 229 5 during during IN cord-018142-xt71w4nr 229 6 pregnancy pregnancy NN cord-018142-xt71w4nr 229 7 is be VBZ cord-018142-xt71w4nr 229 8 based base VBN cord-018142-xt71w4nr 229 9 on on IN cord-018142-xt71w4nr 229 10 plasma plasma NN cord-018142-xt71w4nr 229 11 exchange exchange NN cord-018142-xt71w4nr 229 12 . . . cord-018142-xt71w4nr 230 1 Pregnancy pregnancy NN cord-018142-xt71w4nr 230 2 does do VBZ cord-018142-xt71w4nr 230 3 not not RB cord-018142-xt71w4nr 230 4 modify modify VB cord-018142-xt71w4nr 230 5 the the DT cord-018142-xt71w4nr 230 6 response response NN cord-018142-xt71w4nr 230 7 to to IN cord-018142-xt71w4nr 230 8 treatment treatment NN cord-018142-xt71w4nr 230 9 , , , cord-018142-xt71w4nr 230 10 but but CC cord-018142-xt71w4nr 230 11 the the DT cord-018142-xt71w4nr 230 12 consequences consequence NNS cord-018142-xt71w4nr 230 13 of of IN cord-018142-xt71w4nr 230 14 plasma plasma NN cord-018142-xt71w4nr 230 15 exchange exchange NN cord-018142-xt71w4nr 230 16 on on IN cord-018142-xt71w4nr 230 17 the the DT cord-018142-xt71w4nr 230 18 fetus fetus NN cord-018142-xt71w4nr 230 19 have have VBP cord-018142-xt71w4nr 230 20 not not RB cord-018142-xt71w4nr 230 21 been be VBN cord-018142-xt71w4nr 230 22 evaluated evaluate VBN cord-018142-xt71w4nr 230 23 . . . cord-018142-xt71w4nr 231 1 There there EX cord-018142-xt71w4nr 231 2 is be VBZ cord-018142-xt71w4nr 231 3 a a DT cord-018142-xt71w4nr 231 4 risk risk NN cord-018142-xt71w4nr 231 5 of of IN cord-018142-xt71w4nr 231 6 relapse relapse NN cord-018142-xt71w4nr 231 7 during during IN cord-018142-xt71w4nr 231 8 subsequent subsequent JJ cord-018142-xt71w4nr 231 9 pregnancies pregnancy NNS cord-018142-xt71w4nr 231 10 . . . cord-018142-xt71w4nr 232 1 Ante ante JJ cord-018142-xt71w4nr 232 2 - - HYPH cord-018142-xt71w4nr 232 3 partum partum NN cord-018142-xt71w4nr 232 4 HUS HUS NNP cord-018142-xt71w4nr 232 5 requires require VBZ cord-018142-xt71w4nr 232 6 termination termination NN cord-018142-xt71w4nr 232 7 of of IN cord-018142-xt71w4nr 232 8 pregnancy pregnancy NN cord-018142-xt71w4nr 232 9 , , , cord-018142-xt71w4nr 232 10 but but CC cord-018142-xt71w4nr 232 11 has have VBZ cord-018142-xt71w4nr 232 12 a a DT cord-018142-xt71w4nr 232 13 fairly fairly RB cord-018142-xt71w4nr 232 14 good good JJ cord-018142-xt71w4nr 232 15 prognosis prognosis NN cord-018142-xt71w4nr 232 16 . . . cord-018142-xt71w4nr 233 1 Post post JJ cord-018142-xt71w4nr 233 2 - - JJ cord-018142-xt71w4nr 233 3 partum partum JJ cord-018142-xt71w4nr 233 4 HUS hus NN cord-018142-xt71w4nr 233 5 can can MD cord-018142-xt71w4nr 233 6 occur occur VB cord-018142-xt71w4nr 233 7 up up IN cord-018142-xt71w4nr 233 8 to to TO cord-018142-xt71w4nr 233 9 3 3 CD cord-018142-xt71w4nr 233 10 months month NNS cord-018142-xt71w4nr 233 11 after after IN cord-018142-xt71w4nr 233 12 delivery delivery NN cord-018142-xt71w4nr 233 13 and and CC cord-018142-xt71w4nr 233 14 has have VBZ cord-018142-xt71w4nr 233 15 a a DT cord-018142-xt71w4nr 233 16 poorer poor JJR cord-018142-xt71w4nr 233 17 prognosis prognosis NN cord-018142-xt71w4nr 233 18 . . . cord-018142-xt71w4nr 234 1 Death death NN cord-018142-xt71w4nr 234 2 may may MD cord-018142-xt71w4nr 234 3 be be VB cord-018142-xt71w4nr 234 4 due due JJ cord-018142-xt71w4nr 234 5 to to IN cord-018142-xt71w4nr 234 6 cerebral cerebral JJ cord-018142-xt71w4nr 234 7 ischemic ischemic JJ cord-018142-xt71w4nr 234 8 or or CC cord-018142-xt71w4nr 234 9 hemorrhagic hemorrhagic JJ cord-018142-xt71w4nr 234 10 lesions lesion NNS cord-018142-xt71w4nr 234 11 or or CC cord-018142-xt71w4nr 234 12 cardiac cardiac JJ cord-018142-xt71w4nr 234 13 sudden sudden JJ cord-018142-xt71w4nr 234 14 death death NN cord-018142-xt71w4nr 234 15 . . . cord-018142-xt71w4nr 235 1 Some some DT cord-018142-xt71w4nr 235 2 cases case NNS cord-018142-xt71w4nr 235 3 of of IN cord-018142-xt71w4nr 235 4 post post JJ cord-018142-xt71w4nr 235 5 - - JJ cord-018142-xt71w4nr 235 6 partum partum JJ cord-018142-xt71w4nr 235 7 HUS hus NN cord-018142-xt71w4nr 235 8 are be VBP cord-018142-xt71w4nr 235 9 related relate VBN cord-018142-xt71w4nr 235 10 to to IN cord-018142-xt71w4nr 235 11 factor factor NN cord-018142-xt71w4nr 235 12 H h NN cord-018142-xt71w4nr 235 13 deficiency deficiency NN cord-018142-xt71w4nr 235 14 ( ( -LRB- cord-018142-xt71w4nr 235 15 heterozygous heterozygous JJ cord-018142-xt71w4nr 235 16 mutation mutation NN cord-018142-xt71w4nr 235 17 ) ) -RRB- cord-018142-xt71w4nr 235 18 . . . cord-018142-xt71w4nr 236 1 The the DT cord-018142-xt71w4nr 236 2 HELLP HELLP NNP cord-018142-xt71w4nr 236 3 syndrome syndrome NN cord-018142-xt71w4nr 236 4 ( ( -LRB- cord-018142-xt71w4nr 236 5 hepatic hepatic JJ cord-018142-xt71w4nr 236 6 form form NN cord-018142-xt71w4nr 236 7 of of IN cord-018142-xt71w4nr 236 8 TMA TMA NNP cord-018142-xt71w4nr 236 9 ) ) -RRB- cord-018142-xt71w4nr 236 10 is be VBZ cord-018142-xt71w4nr 236 11 a a DT cord-018142-xt71w4nr 236 12 TMA TMA NNP cord-018142-xt71w4nr 236 13 disorder disorder NN cord-018142-xt71w4nr 236 14 specific specific JJ cord-018142-xt71w4nr 236 15 to to IN cord-018142-xt71w4nr 236 16 pregnancy pregnancy NN cord-018142-xt71w4nr 236 17 . . . cord-018142-xt71w4nr 237 1 It -PRON- PRP cord-018142-xt71w4nr 237 2 differs differ VBZ cord-018142-xt71w4nr 237 3 from from IN cord-018142-xt71w4nr 237 4 HUS HUS NNP cord-018142-xt71w4nr 237 5 and and CC cord-018142-xt71w4nr 237 6 TTP TTP NNP cord-018142-xt71w4nr 237 7 by by IN cord-018142-xt71w4nr 237 8 the the DT cord-018142-xt71w4nr 237 9 presence presence NN cord-018142-xt71w4nr 237 10 of of IN cord-018142-xt71w4nr 237 11 DIC DIC NNP cord-018142-xt71w4nr 237 12 and and CC cord-018142-xt71w4nr 237 13 liver liver NN cord-018142-xt71w4nr 237 14 impairment impairment NN cord-018142-xt71w4nr 237 15 . . . cord-018142-xt71w4nr 238 1 Treatment treatment NN cord-018142-xt71w4nr 238 2 consists consist VBZ cord-018142-xt71w4nr 238 3 of of IN cord-018142-xt71w4nr 238 4 fetal fetal JJ cord-018142-xt71w4nr 238 5 extraction extraction NN cord-018142-xt71w4nr 238 6 . . . cord-018142-xt71w4nr 239 1 Plasma plasma NN cord-018142-xt71w4nr 239 2 therapy therapy NN cord-018142-xt71w4nr 239 3 has have VBZ cord-018142-xt71w4nr 239 4 been be VBN cord-018142-xt71w4nr 239 5 proposed propose VBN cord-018142-xt71w4nr 239 6 ( ( -LRB- cord-018142-xt71w4nr 239 7 3 3 CD cord-018142-xt71w4nr 239 8 to to TO cord-018142-xt71w4nr 239 9 5 5 CD cord-018142-xt71w4nr 239 10 post post JJ cord-018142-xt71w4nr 239 11 - - JJ cord-018142-xt71w4nr 239 12 partum partum JJ cord-018142-xt71w4nr 239 13 sessions session NNS cord-018142-xt71w4nr 239 14 appear appear VBP cord-018142-xt71w4nr 239 15 to to TO cord-018142-xt71w4nr 239 16 be be VB cord-018142-xt71w4nr 239 17 effective effective JJ cord-018142-xt71w4nr 239 18 ) ) -RRB- cord-018142-xt71w4nr 239 19 . . . cord-018142-xt71w4nr 240 1 There there EX cord-018142-xt71w4nr 240 2 is be VBZ cord-018142-xt71w4nr 240 3 a a DT cord-018142-xt71w4nr 240 4 risk risk NN cord-018142-xt71w4nr 240 5 of of IN cord-018142-xt71w4nr 240 6 recurrence recurrence NN cord-018142-xt71w4nr 240 7 during during IN cord-018142-xt71w4nr 240 8 subsequent subsequent JJ cord-018142-xt71w4nr 240 9 pregnancies pregnancy NNS cord-018142-xt71w4nr 240 10 . . . cord-018142-xt71w4nr 241 1 These these DT cord-018142-xt71w4nr 241 2 patients patient NNS cord-018142-xt71w4nr 241 3 should should MD cord-018142-xt71w4nr 241 4 preferably preferably RB cord-018142-xt71w4nr 241 5 be be VB cord-018142-xt71w4nr 241 6 treated treat VBN cord-018142-xt71w4nr 241 7 in in IN cord-018142-xt71w4nr 241 8 a a DT cord-018142-xt71w4nr 241 9 specialized specialized JJ cord-018142-xt71w4nr 241 10 center center NN cord-018142-xt71w4nr 241 11 . . . cord-018142-xt71w4nr 242 1 In in IN cord-018142-xt71w4nr 242 2 this this DT cord-018142-xt71w4nr 242 3 context context NN cord-018142-xt71w4nr 242 4 , , , cord-018142-xt71w4nr 242 5 TMA TMA NNP cord-018142-xt71w4nr 242 6 is be VBZ cord-018142-xt71w4nr 242 7 triggered trigger VBN cord-018142-xt71w4nr 242 8 by by IN cord-018142-xt71w4nr 242 9 various various JJ cord-018142-xt71w4nr 242 10 predisposing predisposing JJ cord-018142-xt71w4nr 242 11 factors factor NNS cord-018142-xt71w4nr 242 12 including include VBG cord-018142-xt71w4nr 242 13 total total JJ cord-018142-xt71w4nr 242 14 body body NN cord-018142-xt71w4nr 242 15 irradiation irradiation NN cord-018142-xt71w4nr 242 16 , , , cord-018142-xt71w4nr 242 17 infections infection NNS cord-018142-xt71w4nr 242 18 ( ( -LRB- cord-018142-xt71w4nr 242 19 immunodepressed immunodepressed JJ cord-018142-xt71w4nr 242 20 patients patient NNS cord-018142-xt71w4nr 242 21 ) ) -RRB- cord-018142-xt71w4nr 242 22 , , , cord-018142-xt71w4nr 242 23 drugs drug NNS cord-018142-xt71w4nr 242 24 ( ( -LRB- cord-018142-xt71w4nr 242 25 tacrolimus tacrolimus RB cord-018142-xt71w4nr 242 26 , , , cord-018142-xt71w4nr 242 27 cyclosporine cyclosporine NNP cord-018142-xt71w4nr 242 28 A A NNP cord-018142-xt71w4nr 242 29 ) ) -RRB- cord-018142-xt71w4nr 242 30 , , , cord-018142-xt71w4nr 242 31 and and CC cord-018142-xt71w4nr 242 32 acute acute JJ cord-018142-xt71w4nr 242 33 graft graft NN cord-018142-xt71w4nr 242 34 versus versus IN cord-018142-xt71w4nr 242 35 host host NN cord-018142-xt71w4nr 242 36 disease disease NN cord-018142-xt71w4nr 242 37 . . . cord-018142-xt71w4nr 243 1 These these DT cord-018142-xt71w4nr 243 2 predisposing predisposing JJ cord-018142-xt71w4nr 243 3 factors factor NNS cord-018142-xt71w4nr 243 4 induce induce VBP cord-018142-xt71w4nr 243 5 disseminated disseminate VBN cord-018142-xt71w4nr 243 6 endothelial endothelial JJ cord-018142-xt71w4nr 243 7 damage damage NN cord-018142-xt71w4nr 243 8 . . . cord-018142-xt71w4nr 244 1 The the DT cord-018142-xt71w4nr 244 2 ADAMTS-13 adamts-13 DT cord-018142-xt71w4nr 244 3 protein protein NN cord-018142-xt71w4nr 244 4 level level NN cord-018142-xt71w4nr 244 5 is be VBZ cord-018142-xt71w4nr 244 6 normal normal JJ cord-018142-xt71w4nr 244 7 and and CC cord-018142-xt71w4nr 244 8 the the DT cord-018142-xt71w4nr 244 9 response response NN cord-018142-xt71w4nr 244 10 to to IN cord-018142-xt71w4nr 244 11 treatment treatment NN cord-018142-xt71w4nr 244 12 is be VBZ cord-018142-xt71w4nr 244 13 disappointing disappointing JJ cord-018142-xt71w4nr 244 14 . . . cord-018142-xt71w4nr 245 1 Plasma plasma NN cord-018142-xt71w4nr 245 2 exchange exchange NN cord-018142-xt71w4nr 245 3 improves improve VBZ cord-018142-xt71w4nr 245 4 the the DT cord-018142-xt71w4nr 245 5 prognosis prognosis NN cord-018142-xt71w4nr 245 6 , , , cord-018142-xt71w4nr 245 7 which which WDT cord-018142-xt71w4nr 245 8 nevertheless nevertheless RB cord-018142-xt71w4nr 245 9 remains remain VBZ cord-018142-xt71w4nr 245 10 poor poor JJ cord-018142-xt71w4nr 245 11 . . . cord-018142-xt71w4nr 246 1 Management management NN cord-018142-xt71w4nr 246 2 of of IN cord-018142-xt71w4nr 246 3 predisposing predisposing JJ cord-018142-xt71w4nr 246 4 factors factor NNS cord-018142-xt71w4nr 246 5 is be VBZ cord-018142-xt71w4nr 246 6 an an DT cord-018142-xt71w4nr 246 7 essential essential JJ cord-018142-xt71w4nr 246 8 aspect aspect NN cord-018142-xt71w4nr 246 9 of of IN cord-018142-xt71w4nr 246 10 treatment treatment NN cord-018142-xt71w4nr 246 11 . . . cord-018142-xt71w4nr 247 1 TMA TMA NNP cord-018142-xt71w4nr 247 2 is be VBZ cord-018142-xt71w4nr 247 3 essentially essentially RB cord-018142-xt71w4nr 247 4 associated associate VBN cord-018142-xt71w4nr 247 5 with with IN cord-018142-xt71w4nr 247 6 secretory secretory JJ cord-018142-xt71w4nr 247 7 adenocarcinomas adenocarcinomas NNP cord-018142-xt71w4nr 247 8 , , , cord-018142-xt71w4nr 247 9 such such JJ cord-018142-xt71w4nr 247 10 as as IN cord-018142-xt71w4nr 247 11 breast breast NN cord-018142-xt71w4nr 247 12 or or CC cord-018142-xt71w4nr 247 13 stomach stomach NN cord-018142-xt71w4nr 247 14 cancers cancer NNS cord-018142-xt71w4nr 247 15 , , , cord-018142-xt71w4nr 247 16 or or CC cord-018142-xt71w4nr 247 17 more more RBR cord-018142-xt71w4nr 247 18 rarely rarely RB cord-018142-xt71w4nr 247 19 lung lung NN cord-018142-xt71w4nr 247 20 , , , cord-018142-xt71w4nr 247 21 colon colon NN cord-018142-xt71w4nr 247 22 or or CC cord-018142-xt71w4nr 247 23 prostate prostate NN cord-018142-xt71w4nr 247 24 cancers cancer NNS cord-018142-xt71w4nr 247 25 . . . cord-018142-xt71w4nr 248 1 Stomach stomach NN cord-018142-xt71w4nr 248 2 cancers cancer NNS cord-018142-xt71w4nr 248 3 represent represent VBP cord-018142-xt71w4nr 248 4 more more JJR cord-018142-xt71w4nr 248 5 than than IN cord-018142-xt71w4nr 248 6 50 50 CD cord-018142-xt71w4nr 248 7 % % NN cord-018142-xt71w4nr 248 8 of of IN cord-018142-xt71w4nr 248 9 all all DT cord-018142-xt71w4nr 248 10 reported report VBN cord-018142-xt71w4nr 248 11 cases case NNS cord-018142-xt71w4nr 248 12 of of IN cord-018142-xt71w4nr 248 13 cancer cancer NN cord-018142-xt71w4nr 248 14 - - HYPH cord-018142-xt71w4nr 248 15 associated associate VBN cord-018142-xt71w4nr 248 16 TMA TMA NNP cord-018142-xt71w4nr 248 17 . . . cord-018142-xt71w4nr 249 1 In in IN cord-018142-xt71w4nr 249 2 most most JJS cord-018142-xt71w4nr 249 3 cases case NNS cord-018142-xt71w4nr 249 4 , , , cord-018142-xt71w4nr 249 5 the the DT cord-018142-xt71w4nr 249 6 cancer cancer NN cord-018142-xt71w4nr 249 7 has have VBZ cord-018142-xt71w4nr 249 8 already already RB cord-018142-xt71w4nr 249 9 been be VBN cord-018142-xt71w4nr 249 10 diagnosed diagnose VBN cord-018142-xt71w4nr 249 11 and and CC cord-018142-xt71w4nr 249 12 treated treat VBN cord-018142-xt71w4nr 249 13 , , , cord-018142-xt71w4nr 249 14 but but CC cord-018142-xt71w4nr 249 15 TTP TTP NNP cord-018142-xt71w4nr 249 16 can can MD cord-018142-xt71w4nr 249 17 also also RB cord-018142-xt71w4nr 249 18 be be VB cord-018142-xt71w4nr 249 19 the the DT cord-018142-xt71w4nr 249 20 first first JJ cord-018142-xt71w4nr 249 21 sign sign NN cord-018142-xt71w4nr 249 22 of of IN cord-018142-xt71w4nr 249 23 cancer cancer NN cord-018142-xt71w4nr 249 24 . . . cord-018142-xt71w4nr 250 1 The the DT cord-018142-xt71w4nr 250 2 pathophysiology pathophysiology NN cord-018142-xt71w4nr 250 3 of of IN cord-018142-xt71w4nr 250 4 cancer cancer NN cord-018142-xt71w4nr 250 5 - - HYPH cord-018142-xt71w4nr 250 6 associated associate VBN cord-018142-xt71w4nr 250 7 TMA TMA NNP cord-018142-xt71w4nr 250 8 has have VBZ cord-018142-xt71w4nr 250 9 been be VBN cord-018142-xt71w4nr 250 10 poorly poorly RB cord-018142-xt71w4nr 250 11 elucidated elucidate VBN cord-018142-xt71w4nr 250 12 and and CC cord-018142-xt71w4nr 250 13 is be VBZ cord-018142-xt71w4nr 250 14 associated associate VBN cord-018142-xt71w4nr 250 15 with with IN cord-018142-xt71w4nr 250 16 variable variable JJ cord-018142-xt71w4nr 250 17 ADAMTS-13 adamts-13 ADD cord-018142-xt71w4nr 250 18 protein protein NN cord-018142-xt71w4nr 250 19 levels level NNS cord-018142-xt71w4nr 250 20 . . . cord-018142-xt71w4nr 251 1 The the DT cord-018142-xt71w4nr 251 2 prognosis prognosis NN cord-018142-xt71w4nr 251 3 is be VBZ cord-018142-xt71w4nr 251 4 also also RB cord-018142-xt71w4nr 251 5 variable variable JJ cord-018142-xt71w4nr 251 6 and and CC cord-018142-xt71w4nr 251 7 depends depend VBZ cord-018142-xt71w4nr 251 8 on on IN cord-018142-xt71w4nr 251 9 the the DT cord-018142-xt71w4nr 251 10 underlying underlie VBG cord-018142-xt71w4nr 251 11 cancer cancer NN cord-018142-xt71w4nr 251 12 . . . cord-018142-xt71w4nr 252 1 Drug drug NN cord-018142-xt71w4nr 252 2 - - : cord-018142-xt71w4nr 252 3 or or CC cord-018142-xt71w4nr 252 4 Toxin toxin NN cord-018142-xt71w4nr 252 5 - - HYPH cord-018142-xt71w4nr 252 6 associated associate VBN cord-018142-xt71w4nr 252 7 TMA TMA NNP cord-018142-xt71w4nr 253 1 Many many JJ cord-018142-xt71w4nr 253 2 drugs drug NNS cord-018142-xt71w4nr 253 3 have have VBP cord-018142-xt71w4nr 253 4 been be VBN cord-018142-xt71w4nr 253 5 incriminated incriminate VBN cord-018142-xt71w4nr 253 6 or or CC cord-018142-xt71w4nr 253 7 suspected suspect VBN cord-018142-xt71w4nr 253 8 including include VBG cord-018142-xt71w4nr 253 9 ticlopidine ticlopidine NN cord-018142-xt71w4nr 253 10 , , , cord-018142-xt71w4nr 253 11 clopidogrel clopidogrel NN cord-018142-xt71w4nr 253 12 , , , cord-018142-xt71w4nr 253 13 cyclosporine cyclosporine NN cord-018142-xt71w4nr 253 14 A A NNP cord-018142-xt71w4nr 253 15 , , , cord-018142-xt71w4nr 253 16 tacrolimus tacrolimus NN cord-018142-xt71w4nr 253 17 , , , cord-018142-xt71w4nr 253 18 interferon interferon NN cord-018142-xt71w4nr 253 19 alpha alpha NN cord-018142-xt71w4nr 253 20 , , , cord-018142-xt71w4nr 253 21 oral oral JJ cord-018142-xt71w4nr 253 22 contraceptives contraceptive NNS cord-018142-xt71w4nr 253 23 , , , cord-018142-xt71w4nr 253 24 quinine quinine NN cord-018142-xt71w4nr 253 25 , , , cord-018142-xt71w4nr 253 26 cisplatin cisplatin NN cord-018142-xt71w4nr 253 27 , , , cord-018142-xt71w4nr 253 28 mitomycin mitomycin NNS cord-018142-xt71w4nr 253 29 C c NN cord-018142-xt71w4nr 253 30 , , , cord-018142-xt71w4nr 253 31 bleomycin bleomycin NN cord-018142-xt71w4nr 253 32 , , , cord-018142-xt71w4nr 253 33 arsenic arsenic NN cord-018142-xt71w4nr 253 34 , , , cord-018142-xt71w4nr 253 35 penicillamine penicillamine NNP cord-018142-xt71w4nr 253 36 D. D. NNP cord-018142-xt71w4nr 253 37 Ticlopidine Ticlopidine NNP cord-018142-xt71w4nr 253 38 and and CC cord-018142-xt71w4nr 253 39 clopidogrel clopidogrel NNS cord-018142-xt71w4nr 253 40 are be VBP cord-018142-xt71w4nr 253 41 associated associate VBN cord-018142-xt71w4nr 253 42 with with IN cord-018142-xt71w4nr 253 43 severe severe JJ cord-018142-xt71w4nr 253 44 ADAMTS-13 adamts-13 NN cord-018142-xt71w4nr 253 45 protein protein NN cord-018142-xt71w4nr 253 46 deficiency deficiency NN cord-018142-xt71w4nr 253 47 with with IN cord-018142-xt71w4nr 253 48 the the DT cord-018142-xt71w4nr 253 49 presence presence NN cord-018142-xt71w4nr 253 50 of of IN cord-018142-xt71w4nr 253 51 plasma plasma NN cord-018142-xt71w4nr 253 52 inhibitors inhibitor NNS cord-018142-xt71w4nr 253 53 . . . cord-018142-xt71w4nr 254 1 Plasma plasma NN cord-018142-xt71w4nr 254 2 exchange exchange NN cord-018142-xt71w4nr 254 3 therapy therapy NN cord-018142-xt71w4nr 254 4 achieves achieve VBZ cord-018142-xt71w4nr 254 5 complete complete JJ cord-018142-xt71w4nr 254 6 remission remission NN cord-018142-xt71w4nr 254 7 in in IN cord-018142-xt71w4nr 254 8 the the DT cord-018142-xt71w4nr 254 9 majority majority NN cord-018142-xt71w4nr 254 10 of of IN cord-018142-xt71w4nr 254 11 these these DT cord-018142-xt71w4nr 254 12 patients patient NNS cord-018142-xt71w4nr 254 13 [ [ -LRB- cord-018142-xt71w4nr 254 14 41 41 CD cord-018142-xt71w4nr 254 15 , , , cord-018142-xt71w4nr 254 16 42 42 CD cord-018142-xt71w4nr 254 17 ] ] -RRB- cord-018142-xt71w4nr 254 18 . . . cord-018142-xt71w4nr 255 1 TMA TMA NNP cord-018142-xt71w4nr 255 2 associated associate VBN cord-018142-xt71w4nr 255 3 with with IN cord-018142-xt71w4nr 255 4 mitomycin mitomycin NNS cord-018142-xt71w4nr 255 5 C C NNP cord-018142-xt71w4nr 255 6 is be VBZ cord-018142-xt71w4nr 255 7 dose dose NN cord-018142-xt71w4nr 255 8 - - HYPH cord-018142-xt71w4nr 255 9 dependent dependent JJ cord-018142-xt71w4nr 255 10 and and CC cord-018142-xt71w4nr 255 11 is be VBZ cord-018142-xt71w4nr 255 12 observed observe VBN cord-018142-xt71w4nr 255 13 after after IN cord-018142-xt71w4nr 255 14 a a DT cord-018142-xt71w4nr 255 15 total total JJ cord-018142-xt71w4nr 255 16 dose dose NN cord-018142-xt71w4nr 255 17 of of IN cord-018142-xt71w4nr 255 18 more more JJR cord-018142-xt71w4nr 255 19 than than IN cord-018142-xt71w4nr 255 20 60 60 CD cord-018142-xt71w4nr 255 21 mg mg NN cord-018142-xt71w4nr 255 22 ( ( -LRB- cord-018142-xt71w4nr 255 23 2 2 CD cord-018142-xt71w4nr 255 24 to to TO cord-018142-xt71w4nr 255 25 10 10 CD cord-018142-xt71w4nr 255 26 % % NN cord-018142-xt71w4nr 255 27 of of IN cord-018142-xt71w4nr 255 28 treated treat VBN cord-018142-xt71w4nr 255 29 patients patient NNS cord-018142-xt71w4nr 255 30 ) ) -RRB- cord-018142-xt71w4nr 255 31 . . . cord-018142-xt71w4nr 256 1 The the DT cord-018142-xt71w4nr 256 2 TMA TMA NNP cord-018142-xt71w4nr 256 3 disorders disorder NNS cord-018142-xt71w4nr 256 4 often often RB cord-018142-xt71w4nr 256 5 appear appear VBP cord-018142-xt71w4nr 256 6 several several JJ cord-018142-xt71w4nr 256 7 months month NNS cord-018142-xt71w4nr 256 8 after after IN cord-018142-xt71w4nr 256 9 stopping stop VBG cord-018142-xt71w4nr 256 10 mitomycin mitomycin NNS cord-018142-xt71w4nr 256 11 C C NNP cord-018142-xt71w4nr 256 12 and and CC cord-018142-xt71w4nr 256 13 are be VBP cord-018142-xt71w4nr 256 14 characterized characterize VBN cord-018142-xt71w4nr 256 15 by by IN cord-018142-xt71w4nr 256 16 hypertension hypertension NN cord-018142-xt71w4nr 256 17 and and CC cord-018142-xt71w4nr 256 18 pulmonary pulmonary JJ cord-018142-xt71w4nr 256 19 edema edema NN cord-018142-xt71w4nr 256 20 [ [ -LRB- cord-018142-xt71w4nr 256 21 43 43 CD cord-018142-xt71w4nr 256 22 ] ] -RRB- cord-018142-xt71w4nr 256 23 . . . cord-018142-xt71w4nr 257 1 Neurological neurological JJ cord-018142-xt71w4nr 257 2 disorders disorder NNS cord-018142-xt71w4nr 257 3 and and CC cord-018142-xt71w4nr 257 4 hyperthermia hyperthermia NN cord-018142-xt71w4nr 257 5 are be VBP cord-018142-xt71w4nr 257 6 rarely rarely RB cord-018142-xt71w4nr 257 7 present present JJ cord-018142-xt71w4nr 257 8 . . . cord-018142-xt71w4nr 258 1 The the DT cord-018142-xt71w4nr 258 2 prognosis prognosis NN cord-018142-xt71w4nr 258 3 is be VBZ cord-018142-xt71w4nr 258 4 very very RB cord-018142-xt71w4nr 258 5 serious serious JJ cord-018142-xt71w4nr 258 6 despite despite IN cord-018142-xt71w4nr 258 7 discontinuation discontinuation NN cord-018142-xt71w4nr 258 8 of of IN cord-018142-xt71w4nr 258 9 mitomycin mitomycin NNS cord-018142-xt71w4nr 258 10 and and CC cord-018142-xt71w4nr 258 11 treatment treatment NN cord-018142-xt71w4nr 258 12 by by IN cord-018142-xt71w4nr 258 13 plasma plasma NN cord-018142-xt71w4nr 258 14 exchange exchange NN cord-018142-xt71w4nr 259 1 ( ( -LRB- cord-018142-xt71w4nr 259 2 mortality mortality NN cord-018142-xt71w4nr 259 3 of of IN cord-018142-xt71w4nr 259 4 60 60 CD cord-018142-xt71w4nr 259 5 to to TO cord-018142-xt71w4nr 259 6 70 70 CD cord-018142-xt71w4nr 259 7 % % NN cord-018142-xt71w4nr 259 8 ) ) -RRB- cord-018142-xt71w4nr 259 9 . . . cord-018142-xt71w4nr 260 1 HIV HIV NNP cord-018142-xt71w4nr 260 2 - - HYPH cord-018142-xt71w4nr 260 3 associated associate VBN cord-018142-xt71w4nr 260 4 TMA TMA NNP cord-018142-xt71w4nr 260 5 [ [ -LRB- cord-018142-xt71w4nr 260 6 12 12 CD cord-018142-xt71w4nr 260 7 ] ] -RRB- cord-018142-xt71w4nr 261 1 These these DT cord-018142-xt71w4nr 261 2 forms form NNS cord-018142-xt71w4nr 261 3 of of IN cord-018142-xt71w4nr 261 4 TMA TMA NNP cord-018142-xt71w4nr 261 5 generally generally RB cord-018142-xt71w4nr 261 6 occur occur VBP cord-018142-xt71w4nr 261 7 at at IN cord-018142-xt71w4nr 261 8 an an DT cord-018142-xt71w4nr 261 9 advanced advanced JJ cord-018142-xt71w4nr 261 10 stage stage NN cord-018142-xt71w4nr 261 11 of of IN cord-018142-xt71w4nr 261 12 HIV HIV NNP cord-018142-xt71w4nr 261 13 infection infection NN cord-018142-xt71w4nr 261 14 and and CC cord-018142-xt71w4nr 261 15 , , , cord-018142-xt71w4nr 261 16 therefore therefore RB cord-018142-xt71w4nr 261 17 , , , cord-018142-xt71w4nr 261 18 have have VBP cord-018142-xt71w4nr 261 19 a a DT cord-018142-xt71w4nr 261 20 very very RB cord-018142-xt71w4nr 261 21 poor poor JJ cord-018142-xt71w4nr 261 22 prognosis prognosis NN cord-018142-xt71w4nr 261 23 . . . cord-018142-xt71w4nr 262 1 Various various JJ cord-018142-xt71w4nr 262 2 mechanisms mechanism NNS cord-018142-xt71w4nr 262 3 can can MD cord-018142-xt71w4nr 262 4 be be VB cord-018142-xt71w4nr 262 5 responsible responsible JJ cord-018142-xt71w4nr 262 6 : : : cord-018142-xt71w4nr 262 7 z z LS cord-018142-xt71w4nr 262 8 development development NN cord-018142-xt71w4nr 262 9 of of IN cord-018142-xt71w4nr 262 10 anti anti JJ cord-018142-xt71w4nr 262 11 - - JJ cord-018142-xt71w4nr 262 12 ADAMTS-13 adamts-13 JJ cord-018142-xt71w4nr 262 13 auto auto NN cord-018142-xt71w4nr 262 14 - - HYPH cord-018142-xt71w4nr 262 15 antibodies antibody NNS cord-018142-xt71w4nr 262 16 responsible responsible JJ cord-018142-xt71w4nr 262 17 for for IN cord-018142-xt71w4nr 262 18 TTP TTP NNP cord-018142-xt71w4nr 262 19 that that WDT cord-018142-xt71w4nr 262 20 responds respond VBZ cord-018142-xt71w4nr 262 21 favorably favorably RB cord-018142-xt71w4nr 262 22 to to IN cord-018142-xt71w4nr 262 23 treatment treatment NN cord-018142-xt71w4nr 262 24 z z NN cord-018142-xt71w4nr 263 1 a a DT cord-018142-xt71w4nr 263 2 multifactorial multifactorial JJ cord-018142-xt71w4nr 263 3 origin origin NN cord-018142-xt71w4nr 263 4 ( ( -LRB- cord-018142-xt71w4nr 263 5 opportunistic opportunistic JJ cord-018142-xt71w4nr 263 6 CMV CMV NNP cord-018142-xt71w4nr 263 7 infection infection NN cord-018142-xt71w4nr 263 8 [ [ -LRB- cord-018142-xt71w4nr 263 9 44 44 CD cord-018142-xt71w4nr 263 10 ] ] -RRB- cord-018142-xt71w4nr 263 11 ) ) -RRB- cord-018142-xt71w4nr 263 12 , , , cord-018142-xt71w4nr 263 13 drugs drug NNS cord-018142-xt71w4nr 263 14 ( ( -LRB- cord-018142-xt71w4nr 263 15 valaciclovir valaciclovir NNP cord-018142-xt71w4nr 263 16 , , , cord-018142-xt71w4nr 263 17 etc etc FW cord-018142-xt71w4nr 263 18 . . . cord-018142-xt71w4nr 263 19 ) ) -RRB- cord-018142-xt71w4nr 264 1 with with IN cord-018142-xt71w4nr 264 2 a a DT cord-018142-xt71w4nr 264 3 more more RBR cord-018142-xt71w4nr 264 4 variable variable JJ cord-018142-xt71w4nr 264 5 response response NN cord-018142-xt71w4nr 264 6 to to IN cord-018142-xt71w4nr 264 7 treatment treatment NN cord-018142-xt71w4nr 264 8 and and CC cord-018142-xt71w4nr 264 9 a a DT cord-018142-xt71w4nr 264 10 poorer poor JJR cord-018142-xt71w4nr 264 11 prognosis prognosis NN cord-018142-xt71w4nr 264 12 . . . cord-018142-xt71w4nr 265 1 Treatment treatment NN cord-018142-xt71w4nr 265 2 of of IN cord-018142-xt71w4nr 265 3 this this DT cord-018142-xt71w4nr 265 4 type type NN cord-018142-xt71w4nr 265 5 of of IN cord-018142-xt71w4nr 265 6 TMA TMA NNP cord-018142-xt71w4nr 265 7 syndrome syndrome NN cord-018142-xt71w4nr 265 8 must must MD cord-018142-xt71w4nr 265 9 be be VB cord-018142-xt71w4nr 265 10 associated associate VBN cord-018142-xt71w4nr 265 11 with with IN cord-018142-xt71w4nr 265 12 antiretroviral antiretroviral JJ cord-018142-xt71w4nr 265 13 therapy therapy NN cord-018142-xt71w4nr 265 14 . . . cord-018142-xt71w4nr 266 1 Other other JJ cord-018142-xt71w4nr 266 2 diseases disease NNS cord-018142-xt71w4nr 266 3 have have VBP cord-018142-xt71w4nr 266 4 also also RB cord-018142-xt71w4nr 266 5 been be VBN cord-018142-xt71w4nr 266 6 associated associate VBN cord-018142-xt71w4nr 266 7 with with IN cord-018142-xt71w4nr 266 8 TMA TMA NNP cord-018142-xt71w4nr 266 9 disorders disorder NNS cord-018142-xt71w4nr 266 10 , , , cord-018142-xt71w4nr 266 11 including include VBG cord-018142-xt71w4nr 266 12 catastrophic catastrophic JJ cord-018142-xt71w4nr 266 13 antiphospholipid antiphospholipid NNP cord-018142-xt71w4nr 266 14 syndrome syndrome NN cord-018142-xt71w4nr 266 15 , , , cord-018142-xt71w4nr 266 16 veno veno NNP cord-018142-xt71w4nr 266 17 - - HYPH cord-018142-xt71w4nr 266 18 occlusive occlusive JJ cord-018142-xt71w4nr 266 19 disease disease NN cord-018142-xt71w4nr 266 20 , , , cord-018142-xt71w4nr 266 21 DIC DIC NNP cord-018142-xt71w4nr 266 22 , , , cord-018142-xt71w4nr 266 23 type type NN cord-018142-xt71w4nr 266 24 2 2 CD cord-018142-xt71w4nr 266 25 heparininduced heparininduced JJ cord-018142-xt71w4nr 266 26 thrombocytopenia thrombocytopenia NN cord-018142-xt71w4nr 266 27 , , , cord-018142-xt71w4nr 266 28 giant giant JJ cord-018142-xt71w4nr 266 29 hemangioma hemangioma NN cord-018142-xt71w4nr 266 30 , , , cord-018142-xt71w4nr 266 31 hemangio hemangio NNP cord-018142-xt71w4nr 266 32 - - HYPH cord-018142-xt71w4nr 266 33 endothelioma endothelioma NNS cord-018142-xt71w4nr 266 34 , , , cord-018142-xt71w4nr 266 35 and and CC cord-018142-xt71w4nr 266 36 malignant malignant JJ cord-018142-xt71w4nr 266 37 hypertension hypertension NN cord-018142-xt71w4nr 266 38 . . . cord-018142-xt71w4nr 267 1 These these DT cord-018142-xt71w4nr 267 2 various various JJ cord-018142-xt71w4nr 267 3 syndromes syndrome NNS cord-018142-xt71w4nr 267 4 must must MD cord-018142-xt71w4nr 267 5 be be VB cord-018142-xt71w4nr 267 6 eliminated eliminate VBN cord-018142-xt71w4nr 267 7 before before IN cord-018142-xt71w4nr 267 8 initiating initiate VBG cord-018142-xt71w4nr 267 9 plasma plasma NN cord-018142-xt71w4nr 267 10 therapy therapy NN cord-018142-xt71w4nr 267 11 . . . cord-018142-xt71w4nr 268 1 z z NNP cord-018142-xt71w4nr 269 1 Conclusion Conclusion NNP cord-018142-xt71w4nr 269 2 Major Major NNP cord-018142-xt71w4nr 269 3 studies study NNS cord-018142-xt71w4nr 269 4 designed design VBN cord-018142-xt71w4nr 269 5 to to TO cord-018142-xt71w4nr 269 6 improve improve VB cord-018142-xt71w4nr 269 7 our -PRON- PRP$ cord-018142-xt71w4nr 269 8 understanding understanding NN cord-018142-xt71w4nr 269 9 of of IN cord-018142-xt71w4nr 269 10 the the DT cord-018142-xt71w4nr 269 11 pathophysiology pathophysiology NN cord-018142-xt71w4nr 269 12 of of IN cord-018142-xt71w4nr 269 13 TMA TMA NNP cord-018142-xt71w4nr 269 14 have have VBP cord-018142-xt71w4nr 269 15 been be VBN cord-018142-xt71w4nr 269 16 conducted conduct VBN cord-018142-xt71w4nr 269 17 over over IN cord-018142-xt71w4nr 269 18 recent recent JJ cord-018142-xt71w4nr 269 19 years year NNS cord-018142-xt71w4nr 269 20 . . . cord-018142-xt71w4nr 270 1 This this DT cord-018142-xt71w4nr 270 2 improved improve VBN cord-018142-xt71w4nr 270 3 knowledge knowledge NN cord-018142-xt71w4nr 270 4 opens open VBZ cord-018142-xt71w4nr 270 5 up up RP cord-018142-xt71w4nr 270 6 new new JJ cord-018142-xt71w4nr 270 7 perspectives perspective NNS cord-018142-xt71w4nr 270 8 for for IN cord-018142-xt71w4nr 270 9 more more RBR cord-018142-xt71w4nr 270 10 targeted target VBN cord-018142-xt71w4nr 270 11 treatment treatment NN cord-018142-xt71w4nr 270 12 . . . cord-018142-xt71w4nr 271 1 However however RB cord-018142-xt71w4nr 271 2 , , , cord-018142-xt71w4nr 271 3 until until IN cord-018142-xt71w4nr 271 4 these these DT cord-018142-xt71w4nr 271 5 innovative innovative JJ cord-018142-xt71w4nr 271 6 treatments treatment NNS cord-018142-xt71w4nr 271 7 become become VBP cord-018142-xt71w4nr 271 8 available available JJ cord-018142-xt71w4nr 271 9 , , , cord-018142-xt71w4nr 271 10 early early JJ cord-018142-xt71w4nr 271 11 diagnosis diagnosis NN cord-018142-xt71w4nr 271 12 of of IN cord-018142-xt71w4nr 271 13 these these DT cord-018142-xt71w4nr 271 14 diseases disease NNS cord-018142-xt71w4nr 271 15 is be VBZ cord-018142-xt71w4nr 271 16 essential essential JJ cord-018142-xt71w4nr 271 17 in in IN cord-018142-xt71w4nr 271 18 order order NN cord-018142-xt71w4nr 271 19 to to TO cord-018142-xt71w4nr 271 20 rapidly rapidly RB cord-018142-xt71w4nr 271 21 initiate initiate VB cord-018142-xt71w4nr 271 22 specific specific JJ cord-018142-xt71w4nr 271 23 treatment treatment NN cord-018142-xt71w4nr 271 24 , , , cord-018142-xt71w4nr 271 25 as as IN cord-018142-xt71w4nr 271 26 the the DT cord-018142-xt71w4nr 271 27 interval interval NN cord-018142-xt71w4nr 271 28 between between IN cord-018142-xt71w4nr 271 29 diagnosis diagnosis NN cord-018142-xt71w4nr 271 30 and and CC cord-018142-xt71w4nr 271 31 initiation initiation NN cord-018142-xt71w4nr 271 32 of of IN cord-018142-xt71w4nr 271 33 plasma plasma NN cord-018142-xt71w4nr 271 34 exchange exchange NN cord-018142-xt71w4nr 271 35 is be VBZ cord-018142-xt71w4nr 271 36 a a DT cord-018142-xt71w4nr 271 37 decisive decisive JJ cord-018142-xt71w4nr 271 38 element element NN cord-018142-xt71w4nr 271 39 in in IN cord-018142-xt71w4nr 271 40 the the DT cord-018142-xt71w4nr 271 41 prognosis prognosis NN cord-018142-xt71w4nr 271 42 of of IN cord-018142-xt71w4nr 271 43 TTP TTP NNP cord-018142-xt71w4nr 271 44 . . . cord-018142-xt71w4nr 272 1 Treatment treatment NN cord-018142-xt71w4nr 272 2 must must MD cord-018142-xt71w4nr 272 3 not not RB cord-018142-xt71w4nr 272 4 be be VB cord-018142-xt71w4nr 272 5 stopped stop VBN cord-018142-xt71w4nr 272 6 too too RB cord-018142-xt71w4nr 272 7 early early RB cord-018142-xt71w4nr 272 8 or or CC cord-018142-xt71w4nr 272 9 too too RB cord-018142-xt71w4nr 272 10 rapidly rapidly RB cord-018142-xt71w4nr 272 11 and and CC cord-018142-xt71w4nr 272 12 must must MD cord-018142-xt71w4nr 272 13 take take VB cord-018142-xt71w4nr 272 14 into into IN cord-018142-xt71w4nr 272 15 account account NN cord-018142-xt71w4nr 272 16 the the DT cord-018142-xt71w4nr 272 17 various various JJ cord-018142-xt71w4nr 272 18 associated associate VBN cord-018142-xt71w4nr 272 19 factors factor NNS cord-018142-xt71w4nr 272 20 , , , cord-018142-xt71w4nr 272 21 especially especially RB cord-018142-xt71w4nr 272 22 the the DT cord-018142-xt71w4nr 272 23 presence presence NN cord-018142-xt71w4nr 272 24 of of IN cord-018142-xt71w4nr 272 25 infection infection NN cord-018142-xt71w4nr 272 26 . . . cord-018142-xt71w4nr 273 1 Infectious infectious JJ cord-018142-xt71w4nr 273 2 diseases disease NNS cord-018142-xt71w4nr 273 3 as as IN cord-018142-xt71w4nr 273 4 a a DT cord-018142-xt71w4nr 273 5 trigger trigger NN cord-018142-xt71w4nr 273 6 in in IN cord-018142-xt71w4nr 273 7 thrombotic thrombotic JJ cord-018142-xt71w4nr 273 8 microangiopathies microangiopathie NNS cord-018142-xt71w4nr 273 9 in in IN cord-018142-xt71w4nr 273 10 intensive intensive JJ cord-018142-xt71w4nr 273 11 care care NN cord-018142-xt71w4nr 273 12 unit unit NN cord-018142-xt71w4nr 273 13 ( ( -LRB- cord-018142-xt71w4nr 273 14 ICU ICU NNP cord-018142-xt71w4nr 273 15 ) ) -RRB- cord-018142-xt71w4nr 273 16 patients patient NNS cord-018142-xt71w4nr 273 17 ? ? . cord-018142-xt71w4nr 274 1 Thrombotic thrombotic JJ cord-018142-xt71w4nr 274 2 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 274 3 purpura purpura NN cord-018142-xt71w4nr 274 4 and and CC cord-018142-xt71w4nr 274 5 other other JJ cord-018142-xt71w4nr 274 6 thrombotic thrombotic JJ cord-018142-xt71w4nr 274 7 microangiopathy microangiopathy NNP cord-018142-xt71w4nr 274 8 syndromes syndromes NNP cord-018142-xt71w4nr 274 9 Purification Purification NNP cord-018142-xt71w4nr 274 10 of of IN cord-018142-xt71w4nr 274 11 human human NN cord-018142-xt71w4nr 274 12 von von NNP cord-018142-xt71w4nr 274 13 Willebrand Willebrand NNP cord-018142-xt71w4nr 274 14 factor factor NN cord-018142-xt71w4nr 274 15 - - HYPH cord-018142-xt71w4nr 274 16 cleaving cleave VBG cord-018142-xt71w4nr 274 17 protease protease NN cord-018142-xt71w4nr 274 18 and and CC cord-018142-xt71w4nr 274 19 its -PRON- PRP$ cord-018142-xt71w4nr 274 20 identification identification NN cord-018142-xt71w4nr 274 21 as as IN cord-018142-xt71w4nr 274 22 a a DT cord-018142-xt71w4nr 274 23 new new JJ cord-018142-xt71w4nr 274 24 member member NN cord-018142-xt71w4nr 274 25 of of IN cord-018142-xt71w4nr 274 26 the the DT cord-018142-xt71w4nr 274 27 metalloproteinase metalloproteinase NN cord-018142-xt71w4nr 274 28 family family NN cord-018142-xt71w4nr 274 29 Partial partial JJ cord-018142-xt71w4nr 274 30 amino amino NN cord-018142-xt71w4nr 274 31 acid acid NN cord-018142-xt71w4nr 274 32 sequence sequence NN cord-018142-xt71w4nr 274 33 of of IN cord-018142-xt71w4nr 274 34 purified purify VBN cord-018142-xt71w4nr 274 35 von von NNP cord-018142-xt71w4nr 274 36 Willebrand Willebrand NNP cord-018142-xt71w4nr 274 37 factor factor NN cord-018142-xt71w4nr 274 38 - - HYPH cord-018142-xt71w4nr 274 39 cleaving cleave VBG cord-018142-xt71w4nr 274 40 protease protease NN cord-018142-xt71w4nr 274 41 Thrombotic Thrombotic NNP cord-018142-xt71w4nr 274 42 microangiopathies microangiopathie NNS cord-018142-xt71w4nr 274 43 Willebrand Willebrand NNP cord-018142-xt71w4nr 274 44 factor factor NN cord-018142-xt71w4nr 274 45 - - HYPH cord-018142-xt71w4nr 274 46 cleaving cleave VBG cord-018142-xt71w4nr 274 47 protease protease NN cord-018142-xt71w4nr 274 48 in in IN cord-018142-xt71w4nr 274 49 thrombotic thrombotic JJ cord-018142-xt71w4nr 274 50 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 274 51 purpura purpura NN cord-018142-xt71w4nr 274 52 and and CC cord-018142-xt71w4nr 274 53 the the DT cord-018142-xt71w4nr 274 54 hemolytic hemolytic JJ cord-018142-xt71w4nr 274 55 - - HYPH cord-018142-xt71w4nr 274 56 uremic uremic NN cord-018142-xt71w4nr 274 57 syndrome syndrome NN cord-018142-xt71w4nr 274 58 Mutations Mutations NNPS cord-018142-xt71w4nr 274 59 in in IN cord-018142-xt71w4nr 274 60 a a DT cord-018142-xt71w4nr 274 61 member member NN cord-018142-xt71w4nr 274 62 of of IN cord-018142-xt71w4nr 274 63 the the DT cord-018142-xt71w4nr 274 64 ADAMTS ADAMTS NNP cord-018142-xt71w4nr 274 65 gene gene NN cord-018142-xt71w4nr 274 66 family family NN cord-018142-xt71w4nr 275 1 cause cause VB cord-018142-xt71w4nr 275 2 thrombotic thrombotic JJ cord-018142-xt71w4nr 275 3 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 275 4 purpura purpura NN cord-018142-xt71w4nr 275 5 Willebrand Willebrand NNP cord-018142-xt71w4nr 275 6 factor factor NN cord-018142-xt71w4nr 275 7 cleaving cleave VBG cord-018142-xt71w4nr 275 8 protease protease NN cord-018142-xt71w4nr 275 9 ( ( -LRB- cord-018142-xt71w4nr 275 10 ADAMTS13 ADAMTS13 NNP cord-018142-xt71w4nr 275 11 ) ) -RRB- cord-018142-xt71w4nr 275 12 is be VBZ cord-018142-xt71w4nr 275 13 deficient deficient JJ cord-018142-xt71w4nr 275 14 in in IN cord-018142-xt71w4nr 275 15 recurrent recurrent JJ cord-018142-xt71w4nr 275 16 and and CC cord-018142-xt71w4nr 275 17 familial familial JJ cord-018142-xt71w4nr 275 18 thrombotic thrombotic JJ cord-018142-xt71w4nr 275 19 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 275 20 purpura purpura NN cord-018142-xt71w4nr 275 21 and and CC cord-018142-xt71w4nr 275 22 hemolytic hemolytic JJ cord-018142-xt71w4nr 275 23 uremic uremic JJ cord-018142-xt71w4nr 275 24 syndrome syndrome NN cord-018142-xt71w4nr 275 25 Antibodies Antibodies NNP cord-018142-xt71w4nr 275 26 to to TO cord-018142-xt71w4nr 275 27 von von NNP cord-018142-xt71w4nr 275 28 Willebrand Willebrand NNP cord-018142-xt71w4nr 275 29 factor factor NN cord-018142-xt71w4nr 275 30 - - HYPH cord-018142-xt71w4nr 275 31 cleaving cleave VBG cord-018142-xt71w4nr 275 32 protease protease NN cord-018142-xt71w4nr 275 33 in in IN cord-018142-xt71w4nr 275 34 acute acute JJ cord-018142-xt71w4nr 275 35 thrombotic thrombotic JJ cord-018142-xt71w4nr 275 36 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 275 37 purpura purpura NN cord-018142-xt71w4nr 275 38 Specific Specific NNP cord-018142-xt71w4nr 275 39 von von NNP cord-018142-xt71w4nr 275 40 Willebrand Willebrand NNP cord-018142-xt71w4nr 275 41 factor factor NN cord-018142-xt71w4nr 275 42 - - HYPH cord-018142-xt71w4nr 275 43 cleaving cleave VBG cord-018142-xt71w4nr 275 44 protease protease NN cord-018142-xt71w4nr 275 45 in in IN cord-018142-xt71w4nr 275 46 thrombotic thrombotic JJ cord-018142-xt71w4nr 275 47 microangiopathies microangiopathie NNS cord-018142-xt71w4nr 275 48 : : : cord-018142-xt71w4nr 276 1 a a DT cord-018142-xt71w4nr 276 2 study study NN cord-018142-xt71w4nr 276 3 of of IN cord-018142-xt71w4nr 276 4 111 111 CD cord-018142-xt71w4nr 276 5 cases case NNS cord-018142-xt71w4nr 277 1 Outcome outcome NN cord-018142-xt71w4nr 277 2 of of IN cord-018142-xt71w4nr 277 3 severe severe JJ cord-018142-xt71w4nr 277 4 adult adult NN cord-018142-xt71w4nr 277 5 thrombotic thrombotic JJ cord-018142-xt71w4nr 277 6 microangiopathies microangiopathie NNS cord-018142-xt71w4nr 277 7 in in IN cord-018142-xt71w4nr 277 8 the the DT cord-018142-xt71w4nr 277 9 intensive intensive JJ cord-018142-xt71w4nr 277 10 care care NN cord-018142-xt71w4nr 277 11 unit unit NN cord-018142-xt71w4nr 277 12 Human human JJ cord-018142-xt71w4nr 277 13 immunodeficiency immunodeficiency NN cord-018142-xt71w4nr 277 14 virus virus NN cord-018142-xt71w4nr 277 15 infection infection NN cord-018142-xt71w4nr 277 16 and and CC cord-018142-xt71w4nr 277 17 thrombotic thrombotic JJ cord-018142-xt71w4nr 277 18 microangiopathy microangiopathy NN cord-018142-xt71w4nr 278 1 Thrombotic Thrombotic NNP cord-018142-xt71w4nr 278 2 microangiopathy microangiopathy NN cord-018142-xt71w4nr 278 3 in in IN cord-018142-xt71w4nr 278 4 association association NN cord-018142-xt71w4nr 278 5 with with IN cord-018142-xt71w4nr 278 6 cytomegalovirus cytomegalovirus NNP cord-018142-xt71w4nr 278 7 infection infection NN cord-018142-xt71w4nr 278 8 in in IN cord-018142-xt71w4nr 278 9 a a DT cord-018142-xt71w4nr 278 10 renal renal JJ cord-018142-xt71w4nr 278 11 transplant transplant NN cord-018142-xt71w4nr 278 12 patient patient NN cord-018142-xt71w4nr 278 13 : : : cord-018142-xt71w4nr 278 14 a a DT cord-018142-xt71w4nr 278 15 new new JJ cord-018142-xt71w4nr 278 16 treatment treatment NN cord-018142-xt71w4nr 278 17 strategy strategy NN cord-018142-xt71w4nr 278 18 Cryptococcal Cryptococcal NNP cord-018142-xt71w4nr 278 19 meningitis meningitis NN cord-018142-xt71w4nr 278 20 following follow VBG cord-018142-xt71w4nr 278 21 a a DT cord-018142-xt71w4nr 278 22 thrombotic thrombotic JJ cord-018142-xt71w4nr 278 23 microangiopathy microangiopathy NN cord-018142-xt71w4nr 278 24 in in IN cord-018142-xt71w4nr 278 25 an an DT cord-018142-xt71w4nr 278 26 unrelated unrelated JJ cord-018142-xt71w4nr 278 27 donor donor NN cord-018142-xt71w4nr 278 28 bone bone NN cord-018142-xt71w4nr 278 29 marrow marrow NN cord-018142-xt71w4nr 278 30 transplant transplant NN cord-018142-xt71w4nr 278 31 recipient recipient NN cord-018142-xt71w4nr 278 32 Hemolytic hemolytic JJ cord-018142-xt71w4nr 278 33 - - HYPH cord-018142-xt71w4nr 278 34 uremic uremic NN cord-018142-xt71w4nr 278 35 syndrome syndrome NN cord-018142-xt71w4nr 278 36 associated associate VBN cord-018142-xt71w4nr 278 37 with with IN cord-018142-xt71w4nr 278 38 pneumococcal pneumococcal JJ cord-018142-xt71w4nr 278 39 sepsis sepsis NN cord-018142-xt71w4nr 279 1 Thrombotic thrombotic JJ cord-018142-xt71w4nr 279 2 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 279 3 purpura purpura NN cord-018142-xt71w4nr 279 4 complicating complicate VBG cord-018142-xt71w4nr 279 5 Legionnaires Legionnaires NNPS cord-018142-xt71w4nr 279 6 ' ' POS cord-018142-xt71w4nr 279 7 disease disease NN cord-018142-xt71w4nr 279 8 Thrombotic Thrombotic NNP cord-018142-xt71w4nr 279 9 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 279 10 purpura purpura NN cord-018142-xt71w4nr 279 11 and and CC cord-018142-xt71w4nr 279 12 herpes herpes NNP cord-018142-xt71w4nr 279 13 zoster zoster NNP cord-018142-xt71w4nr 279 14 infection infection NN cord-018142-xt71w4nr 280 1 Thrombotic thrombotic JJ cord-018142-xt71w4nr 280 2 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 280 3 purpura purpura NN cord-018142-xt71w4nr 280 4 ( ( -LRB- cord-018142-xt71w4nr 280 5 TTP TTP NNP cord-018142-xt71w4nr 280 6 ) ) -RRB- cord-018142-xt71w4nr 280 7 associated associate VBN cord-018142-xt71w4nr 280 8 with with IN cord-018142-xt71w4nr 280 9 a a DT cord-018142-xt71w4nr 280 10 Borrelia Borrelia NNP cord-018142-xt71w4nr 280 11 burgdorferi burgdorferi NN cord-018142-xt71w4nr 280 12 infection infection NN cord-018142-xt71w4nr 280 13 Thrombotic Thrombotic NNP cord-018142-xt71w4nr 280 14 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 280 15 purpura purpura NN cord-018142-xt71w4nr 280 16 associated associate VBN cord-018142-xt71w4nr 280 17 with with IN cord-018142-xt71w4nr 280 18 Bacteroides Bacteroides NNP cord-018142-xt71w4nr 280 19 bacteremia bacteremia NN cord-018142-xt71w4nr 280 20 Thrombotic Thrombotic NNP cord-018142-xt71w4nr 280 21 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 280 22 purpura purpura NN cord-018142-xt71w4nr 280 23 associated associate VBN cord-018142-xt71w4nr 280 24 with with IN cord-018142-xt71w4nr 280 25 primary primary JJ cord-018142-xt71w4nr 280 26 tuberculosis tuberculosis NN cord-018142-xt71w4nr 280 27 Hemolytic hemolytic JJ cord-018142-xt71w4nr 280 28 uremic uremic JJ cord-018142-xt71w4nr 280 29 syndrome syndrome NN cord-018142-xt71w4nr 281 1 Insuffisances Insuffisances NNP cord-018142-xt71w4nr 281 2 rnales rnales NNP cord-018142-xt71w4nr 281 3 aigus aigus NNP cord-018142-xt71w4nr 281 4 d'origine d'origine NNP cord-018142-xt71w4nr 281 5 glomrulaire glomrulaire NNP cord-018142-xt71w4nr 281 6 et et NNP cord-018142-xt71w4nr 281 7 vasculaire vasculaire JJ cord-018142-xt71w4nr 281 8 Recurrent recurrent JJ cord-018142-xt71w4nr 281 9 haemolytic haemolytic JJ cord-018142-xt71w4nr 281 10 uraemic uraemic NNP cord-018142-xt71w4nr 281 11 syndrome syndrome NN cord-018142-xt71w4nr 281 12 and and CC cord-018142-xt71w4nr 281 13 acquired acquire VBD cord-018142-xt71w4nr 281 14 hypomorphic hypomorphic JJ cord-018142-xt71w4nr 281 15 variant variant NN cord-018142-xt71w4nr 281 16 of of IN cord-018142-xt71w4nr 281 17 the the DT cord-018142-xt71w4nr 281 18 third third JJ cord-018142-xt71w4nr 281 19 component component NN cord-018142-xt71w4nr 281 20 of of IN cord-018142-xt71w4nr 281 21 complement complement JJ cord-018142-xt71w4nr 281 22 Heterozygous heterozygous JJ cord-018142-xt71w4nr 281 23 and and CC cord-018142-xt71w4nr 281 24 homozygous homozygous JJ cord-018142-xt71w4nr 281 25 factor factor NN cord-018142-xt71w4nr 282 1 h h NNP cord-018142-xt71w4nr 282 2 deficiencies deficiency NNS cord-018142-xt71w4nr 282 3 associated associate VBN cord-018142-xt71w4nr 282 4 with with IN cord-018142-xt71w4nr 282 5 hemolytic hemolytic JJ cord-018142-xt71w4nr 282 6 uremic uremic JJ cord-018142-xt71w4nr 282 7 syndrome syndrome NN cord-018142-xt71w4nr 282 8 or or CC cord-018142-xt71w4nr 282 9 membranoproliferative membranoproliferative JJ cord-018142-xt71w4nr 282 10 glomerulonephritis glomerulonephritis NN cord-018142-xt71w4nr 282 11 : : : cord-018142-xt71w4nr 282 12 report report NN cord-018142-xt71w4nr 282 13 and and CC cord-018142-xt71w4nr 282 14 genetic genetic JJ cord-018142-xt71w4nr 282 15 analysis analysis NN cord-018142-xt71w4nr 282 16 of of IN cord-018142-xt71w4nr 282 17 16 16 CD cord-018142-xt71w4nr 282 18 cases case NNS cord-018142-xt71w4nr 282 19 Plasma plasma NN cord-018142-xt71w4nr 282 20 exchange exchange NN cord-018142-xt71w4nr 282 21 for for IN cord-018142-xt71w4nr 282 22 treatment treatment NN cord-018142-xt71w4nr 282 23 of of IN cord-018142-xt71w4nr 282 24 thrombotic thrombotic JJ cord-018142-xt71w4nr 282 25 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 282 26 purpura purpura NN cord-018142-xt71w4nr 282 27 in in IN cord-018142-xt71w4nr 282 28 critically critically RB cord-018142-xt71w4nr 282 29 ill ill JJ cord-018142-xt71w4nr 282 30 patients patient NNS cord-018142-xt71w4nr 283 1 Purpura purpura NN cord-018142-xt71w4nr 283 2 thrombotique thrombotique NN cord-018142-xt71w4nr 283 3 thrombocytopnique thrombocytopnique NN cord-018142-xt71w4nr 284 1 The the DT cord-018142-xt71w4nr 284 2 hemolytic hemolytic JJ cord-018142-xt71w4nr 284 3 uremic uremic JJ cord-018142-xt71w4nr 284 4 syndrome syndrome NN cord-018142-xt71w4nr 285 1 Recent recent JJ cord-018142-xt71w4nr 285 2 advances advance NNS cord-018142-xt71w4nr 285 3 in in IN cord-018142-xt71w4nr 285 4 thrombotic thrombotic JJ cord-018142-xt71w4nr 285 5 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 285 6 purpura purpura NN cord-018142-xt71w4nr 285 7 Prothrombotic Prothrombotic NNP cord-018142-xt71w4nr 285 8 coagulation coagulation NN cord-018142-xt71w4nr 285 9 abnormalities abnormality NNS cord-018142-xt71w4nr 285 10 preceding precede VBG cord-018142-xt71w4nr 285 11 the the DT cord-018142-xt71w4nr 285 12 hemolytic hemolytic JJ cord-018142-xt71w4nr 285 13 - - HYPH cord-018142-xt71w4nr 285 14 uremic uremic JJ cord-018142-xt71w4nr 285 15 syndrome syndrome NN cord-018142-xt71w4nr 285 16 Improved improve VBN cord-018142-xt71w4nr 285 17 survival survival NN cord-018142-xt71w4nr 285 18 in in IN cord-018142-xt71w4nr 285 19 thrombotic thrombotic JJ cord-018142-xt71w4nr 285 20 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 285 21 purpura purpura NN cord-018142-xt71w4nr 285 22 - - HYPH cord-018142-xt71w4nr 285 23 hemolytic hemolytic JJ cord-018142-xt71w4nr 285 24 uremic uremic JJ cord-018142-xt71w4nr 285 25 syndrome syndrome NN cord-018142-xt71w4nr 285 26 . . . cord-018142-xt71w4nr 286 1 Clinical clinical JJ cord-018142-xt71w4nr 286 2 experience experience NN cord-018142-xt71w4nr 286 3 in in IN cord-018142-xt71w4nr 286 4 108 108 CD cord-018142-xt71w4nr 286 5 patients patient NNS cord-018142-xt71w4nr 286 6 Improved improve VBN cord-018142-xt71w4nr 286 7 survival survival NN cord-018142-xt71w4nr 286 8 with with IN cord-018142-xt71w4nr 286 9 plasma plasma NN cord-018142-xt71w4nr 286 10 exchange exchange NN cord-018142-xt71w4nr 286 11 in in IN cord-018142-xt71w4nr 286 12 patients patient NNS cord-018142-xt71w4nr 286 13 with with IN cord-018142-xt71w4nr 286 14 thrombotic thrombotic JJ cord-018142-xt71w4nr 286 15 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 286 16 purpura purpura NN cord-018142-xt71w4nr 286 17 - - HYPH cord-018142-xt71w4nr 286 18 hemolytic hemolytic JJ cord-018142-xt71w4nr 286 19 uremic uremic JJ cord-018142-xt71w4nr 286 20 syndrome syndrome NN cord-018142-xt71w4nr 286 21 Thrombotic Thrombotic NNP cord-018142-xt71w4nr 286 22 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 286 23 purpura purpura NN cord-018142-xt71w4nr 286 24 : : : cord-018142-xt71w4nr 286 25 outcome outcome NN cord-018142-xt71w4nr 286 26 in in IN cord-018142-xt71w4nr 286 27 24 24 CD cord-018142-xt71w4nr 286 28 patients patient NNS cord-018142-xt71w4nr 286 29 with with IN cord-018142-xt71w4nr 286 30 renal renal JJ cord-018142-xt71w4nr 286 31 impairment impairment NN cord-018142-xt71w4nr 286 32 treated treat VBN cord-018142-xt71w4nr 286 33 with with IN cord-018142-xt71w4nr 286 34 plasma plasma NN cord-018142-xt71w4nr 286 35 exchange exchange NN cord-018142-xt71w4nr 286 36 Thrombotic Thrombotic NNP cord-018142-xt71w4nr 286 37 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 286 38 purpura/ purpura/ CD cord-018142-xt71w4nr 286 39 hemolytic hemolytic JJ cord-018142-xt71w4nr 286 40 uremic uremic JJ cord-018142-xt71w4nr 286 41 syndrome syndrome NN cord-018142-xt71w4nr 286 42 : : : cord-018142-xt71w4nr 286 43 a a DT cord-018142-xt71w4nr 286 44 multivariate multivariate JJ cord-018142-xt71w4nr 286 45 analysis analysis NN cord-018142-xt71w4nr 286 46 of of IN cord-018142-xt71w4nr 286 47 factors factor NNS cord-018142-xt71w4nr 286 48 predicting predict VBG cord-018142-xt71w4nr 286 49 the the DT cord-018142-xt71w4nr 286 50 response response NN cord-018142-xt71w4nr 286 51 to to IN cord-018142-xt71w4nr 286 52 plasma plasma NN cord-018142-xt71w4nr 286 53 exchange exchange NN cord-018142-xt71w4nr 286 54 High high JJ cord-018142-xt71w4nr 286 55 incidence incidence NN cord-018142-xt71w4nr 286 56 of of IN cord-018142-xt71w4nr 286 57 relapses relapse NNS cord-018142-xt71w4nr 286 58 in in IN cord-018142-xt71w4nr 286 59 thrombotic thrombotic JJ cord-018142-xt71w4nr 286 60 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 286 61 purpura purpura NN cord-018142-xt71w4nr 286 62 . . . cord-018142-xt71w4nr 287 1 Clinical clinical JJ cord-018142-xt71w4nr 287 2 study study NN cord-018142-xt71w4nr 287 3 of of IN cord-018142-xt71w4nr 287 4 38 38 CD cord-018142-xt71w4nr 287 5 patients patient NNS cord-018142-xt71w4nr 287 6 Comparison Comparison NNP cord-018142-xt71w4nr 287 7 of of IN cord-018142-xt71w4nr 287 8 plasma plasma NN cord-018142-xt71w4nr 287 9 exchange exchange NN cord-018142-xt71w4nr 287 10 with with IN cord-018142-xt71w4nr 287 11 plasma plasma NN cord-018142-xt71w4nr 287 12 infusion infusion NN cord-018142-xt71w4nr 287 13 in in IN cord-018142-xt71w4nr 287 14 the the DT cord-018142-xt71w4nr 287 15 treatment treatment NN cord-018142-xt71w4nr 287 16 of of IN cord-018142-xt71w4nr 287 17 thrombotic thrombotic JJ cord-018142-xt71w4nr 287 18 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 287 19 purpura purpura NN cord-018142-xt71w4nr 287 20 . . . cord-018142-xt71w4nr 288 1 Canadian Canadian NNP cord-018142-xt71w4nr 288 2 Apheresis Apheresis NNP cord-018142-xt71w4nr 288 3 Study Study NNP cord-018142-xt71w4nr 288 4 Group Group NNP cord-018142-xt71w4nr 289 1 The the DT cord-018142-xt71w4nr 289 2 risk risk NN cord-018142-xt71w4nr 289 3 of of IN cord-018142-xt71w4nr 289 4 the the DT cord-018142-xt71w4nr 289 5 hemolytic hemolytic JJ cord-018142-xt71w4nr 289 6 - - HYPH cord-018142-xt71w4nr 289 7 uremic uremic NN cord-018142-xt71w4nr 289 8 syndrome syndrome NN cord-018142-xt71w4nr 289 9 after after IN cord-018142-xt71w4nr 289 10 antibiotic antibiotic JJ cord-018142-xt71w4nr 289 11 treatment treatment NN cord-018142-xt71w4nr 289 12 of of IN cord-018142-xt71w4nr 289 13 Escherichia Escherichia NNP cord-018142-xt71w4nr 289 14 coli coli NNS cord-018142-xt71w4nr 289 15 O157 O157 NNP cord-018142-xt71w4nr 289 16 : : : cord-018142-xt71w4nr 290 1 H7 H7 NNP cord-018142-xt71w4nr 290 2 infections infection NNS cord-018142-xt71w4nr 291 1 Thrombotic thrombotic JJ cord-018142-xt71w4nr 291 2 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 291 3 purpura purpura NN cord-018142-xt71w4nr 291 4 : : : cord-018142-xt71w4nr 292 1 early early JJ cord-018142-xt71w4nr 292 2 and and CC cord-018142-xt71w4nr 292 3 late late JJ cord-018142-xt71w4nr 292 4 responders responder NNS cord-018142-xt71w4nr 292 5 Rituximab Rituximab NNP cord-018142-xt71w4nr 292 6 for for IN cord-018142-xt71w4nr 292 7 chronic chronic JJ cord-018142-xt71w4nr 292 8 recurring recurring JJ cord-018142-xt71w4nr 292 9 thrombotic thrombotic JJ cord-018142-xt71w4nr 292 10 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 292 11 purpura purpura NN cord-018142-xt71w4nr 292 12 : : : cord-018142-xt71w4nr 292 13 a a DT cord-018142-xt71w4nr 292 14 case case NN cord-018142-xt71w4nr 292 15 report report NN cord-018142-xt71w4nr 292 16 and and CC cord-018142-xt71w4nr 292 17 review review NN cord-018142-xt71w4nr 292 18 of of IN cord-018142-xt71w4nr 292 19 the the DT cord-018142-xt71w4nr 292 20 literature literature NN cord-018142-xt71w4nr 292 21 Treatment treatment NN cord-018142-xt71w4nr 292 22 of of IN cord-018142-xt71w4nr 292 23 plasma plasma NN cord-018142-xt71w4nr 292 24 refractory refractory JJ cord-018142-xt71w4nr 292 25 thrombotic thrombotic JJ cord-018142-xt71w4nr 292 26 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 292 27 purpura purpura NN cord-018142-xt71w4nr 292 28 with with IN cord-018142-xt71w4nr 292 29 protein protein NN cord-018142-xt71w4nr 292 30 A a DT cord-018142-xt71w4nr 292 31 immunoabsorption immunoabsorption NN cord-018142-xt71w4nr 293 1 Thrombotic thrombotic JJ cord-018142-xt71w4nr 293 2 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 293 3 purpura purpura NN cord-018142-xt71w4nr 293 4 associated associate VBN cord-018142-xt71w4nr 293 5 with with IN cord-018142-xt71w4nr 293 6 clopidogrel clopidogrel JJ cord-018142-xt71w4nr 293 7 Thrombotic thrombotic JJ cord-018142-xt71w4nr 293 8 thrombocytopenic thrombocytopenic JJ cord-018142-xt71w4nr 293 9 purpura purpura NN cord-018142-xt71w4nr 293 10 associated associate VBN cord-018142-xt71w4nr 293 11 with with IN cord-018142-xt71w4nr 293 12 ticlopidine ticlopidine NNP cord-018142-xt71w4nr 293 13 . . . cord-018142-xt71w4nr 294 1 A a DT cord-018142-xt71w4nr 294 2 review review NN cord-018142-xt71w4nr 294 3 of of IN cord-018142-xt71w4nr 294 4 60 60 CD cord-018142-xt71w4nr 294 5 cases case NNS cord-018142-xt71w4nr 294 6 Hemostatic hemostatic JJ cord-018142-xt71w4nr 294 7 abnormalities abnormality NNS cord-018142-xt71w4nr 294 8 and and CC cord-018142-xt71w4nr 294 9 increased increase VBD cord-018142-xt71w4nr 294 10 vascular vascular JJ cord-018142-xt71w4nr 294 11 endothelial endothelial JJ cord-018142-xt71w4nr 294 12 cell cell NN cord-018142-xt71w4nr 294 13 markers marker NNS cord-018142-xt71w4nr 294 14 in in IN cord-018142-xt71w4nr 294 15 patients patient NNS cord-018142-xt71w4nr 294 16 with with IN cord-018142-xt71w4nr 294 17 red red JJ cord-018142-xt71w4nr 294 18 cell cell NN cord-018142-xt71w4nr 294 19 fragmentation fragmentation NN cord-018142-xt71w4nr 294 20 syndrome syndrome NN cord-018142-xt71w4nr 294 21 induced induce VBN cord-018142-xt71w4nr 294 22 by by IN cord-018142-xt71w4nr 294 23 mitomycin mitomycin NNS cord-018142-xt71w4nr 294 24 C C NNP cord-018142-xt71w4nr 294 25 Thrombotic Thrombotic NNP cord-018142-xt71w4nr 294 26 microangiopathy microangiopathy NN cord-018142-xt71w4nr 294 27 and and CC cord-018142-xt71w4nr 294 28 cytomegalovirus cytomegalovirus JJ cord-018142-xt71w4nr 294 29 disease disease NN cord-018142-xt71w4nr 294 30 in in IN cord-018142-xt71w4nr 294 31 patients patient NNS cord-018142-xt71w4nr 294 32 infected infect VBN cord-018142-xt71w4nr 294 33 with with IN cord-018142-xt71w4nr 294 34 human human JJ cord-018142-xt71w4nr 294 35 immunodeficiency immunodeficiency NN cord-018142-xt71w4nr 294 36 virus virus NN