학술논문

Proteinuria Increases the PLASMIC and French Scores Performance to Predict Thrombotic Thrombocytopenic Purpura in Patients With Thrombotic Microangiopathy Syndrome
Document Type
article
Source
Kidney International Reports, Vol 7, Iss 2, Pp 221-231 (2022)
Subject
French score
PLASMIC score
proteinuria
thrombotic microangiopathy syndrome
thrombotic thrombocytopenic purpura
Diseases of the genitourinary system. Urology
RC870-923
Language
English
ISSN
2468-0249
Abstract
Introduction: PLASMIC and French scores have been developed to help clinicians in the early identification of patients with thrombotic thrombocytopenic purpura (TTP). Nevertheless, the validity of these scores in thrombotic microangiopathy (TMA) cohorts with low TTP prevalence remains uncertain. We aimed to evaluate their diagnostic value in routine clinical practice using an unselected cohort of patients with TMA. We also analyzed the value of adding proteinuria level to the scores. Methods: We retrospectively included all patients presenting with a biological TMA syndrome between January 1, 2008, and December 31, 2019, in a tertiary hospital. TMA etiology was ascertained, and scores were evaluated. Modified scores, built by adding 1 point for low proteinuria (