. 2023; 40(4): 251-257 | DOI: 10.4274/tjh.galenos.2023.2023.0295 | |||
İleri Yaştaki İmmün Trombotik Trombositopenik Purpura Hastalarında; PLASMIC ve French Skorlamalarının RolüMehmet Baysal1, Fehmi Hindilerden2, Elif Gülsüm Umit3, Ahmet Muzaffer Demir3, Fatma Keklik Karadağ4, Güray Saydam4, Seval Akpınar5, Burhan Turgut5, Vildan Özkocaman6, Fahir Özkalemkaş6, Rafiye Çiftçiler7, Can Özlü8, Sinan Demircioğlu9, Yıldız İpek10, Reyhan Diz Küçükkaya111Ali Osman Sönmez Oncology Hospital, Clinic of Hematology, Bursa, Türkiye2University of Health Sciences Türkiye, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, Clinic of Hematology, İstanbul, Türkiye 3Trakya University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Edirne, Türkiye 4Ege University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, İzmir, Türkiye 5Tekirdağ Namık Kemal University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Tekirdağ, Türkiye 6Bursa Uludağ University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Bursa, Türkiye 7Selçuk University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Konya, Türkiye 8Kütahya Health Sciences University, Evliya Çelebi Training and Research Hospital, Department of Internal Medicine, Division of Hematology, Kütahya, Türkiye 9Necmettin Erbakan University Meram Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Konya, Türkiye 10University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, Clinic of Hematology, İstanbul, Türkiye 11İstanbul University Faculty of Science, Department of Molecular Biology and Genetics, İstanbul, Türkiye Amaç: Son yıllarda, immün trombotik trombositopenik purpura (iTTP) yönetiminde günlük uygulamalara yeni gelişmeler eklenmiştir. Özellikle klinik skorlama sistemleri klinisyenlere klinik karar verme ve erken tanıda yardımcı olabilir. Ancak, yaşlı hastalar genellikle daha fazla organ tutulumu ve alışılmadık şekillerde başvurabilmektedir. İleri yaşın bu klinik tahmin skorlama sistemleri üzerindeki etkisi belirsizdir. Bu bağlamda, PLASMIC ve French skorlarının 60 yaş ve üzeri hastalarda kullanılabilirliğini değerlendirdik. Immune Thrombotic Thrombocytopenic Purpura in Elderly Patients: The Roles of PLASMIC and French ScoresMehmet Baysal1, Fehmi Hindilerden2, Elif Gülsüm Umit3, Ahmet Muzaffer Demir3, Fatma Keklik Karadağ4, Güray Saydam4, Seval Akpınar5, Burhan Turgut5, Vildan Özkocaman6, Fahir Özkalemkaş6, Rafiye Çiftçiler7, Can Özlü8, Sinan Demircioğlu9, Yıldız İpek10, Reyhan Diz Küçükkaya111Ali Osman Sönmez Oncology Hospital, Clinic of Hematology, Bursa, Türkiye2University of Health Sciences Türkiye, İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, Clinic of Hematology, İstanbul, Türkiye 3Trakya University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Edirne, Türkiye 4Ege University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, İzmir, Türkiye 5Tekirdağ Namık Kemal University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Tekirdağ, Türkiye 6Bursa Uludağ University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Bursa, Türkiye 7Selçuk University Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Konya, Türkiye 8Kütahya Health Sciences University, Evliya Çelebi Training and Research Hospital, Department of Internal Medicine, Division of Hematology, Kütahya, Türkiye 9Necmettin Erbakan University Meram Faculty of Medicine, Department of Internal Medicine, Division of Hematology, Konya, Türkiye 10University of Health Sciences Türkiye, Kartal Dr. Lütfi Kırdar City Hospital, Clinic of Hematology, İstanbul, Türkiye 11İstanbul University Faculty of Science, Department of Molecular Biology and Genetics, İstanbul, Türkiye Objective: In recent years, new developments have been incorporated into daily practice in the management of immune thrombotic thrombocytopenic purpura (iTTP). In particular, clinical scoring systems could help clinicians with clinical decision-making and early recognition. However, older patients frequently present with more organ involvement and in unusual ways. The ways in which age could affect these clinical prediction scoring systems remain unclear. We evaluated the use of PLASMIC and French scores in patients over 60 years of age. Mehmet Baysal, Fehmi Hindilerden, Elif Gülsüm Umit, Ahmet Muzaffer Demir, Fatma Keklik Karadağ, Güray Saydam, Seval Akpınar, Burhan Turgut, Vildan Özkocaman, Fahir Özkalemkaş, Rafiye Çiftçiler, Can Özlü, Sinan Demircioğlu, Yıldız İpek, Reyhan Diz Küçükkaya. Immune Thrombotic Thrombocytopenic Purpura in Elderly Patients: The Roles of PLASMIC and French Scores. . 2023; 40(4): 251-257 Sorumlu Yazar: Mehmet Baysal, Türkiye |
|