Abstract

Drug-induced thrombotic microangiopathy (DITMA) is a life-threatening complication that is often under-recognized and under-reported (1). Despite recent systematic reviews published in 2015 (2) and 2018 (3), the list of drugs implicated in TMA continues to expand (4–9). In addition, novel reports have unraveled potential new mechanisms that might contribute to a targeted therapy of this syndrome. In this opinion article, we aimed to summarize recent data on DITMA, categorizing drugs based on mechanisms of actions and specialties.

Highlights

  • Drug-induced thrombotic microangiopathy (DITMA) is a life-threatening complication that is often under-recognized and under-reported [1]

  • We aimed to summarize recent data on DITMA, categorizing drugs based on mechanisms of actions and specialties

  • It emphasizes on unique presentations and characteristics of DITMA, that require increased awareness by treating physicians of relevant specialties

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Summary

INTRODUCTION

Drug-induced thrombotic microangiopathy (DITMA) is a life-threatening complication that is often under-recognized and under-reported [1]. Despite recent systematic reviews published in 2015 [2] and 2018 [3], the list of drugs implicated in TMA continues to expand [4,5,6,7,8,9]. Novel reports have unraveled potential new mechanisms that might contribute to a targeted therapy of this syndrome. In this opinion article, we aimed to summarize recent data on DITMA, categorizing drugs based on mechanisms of actions and specialties

MECHANISMS OF ACTION
Proteasome Inhibitors
Multiagent Chemotherapy
Calcineurin and mTOR Inhibitors
MONOCLONAL ANTIBODIES
OPIOIDS AND OTHER DRUGS OF ABUSE
Ciprofloxacin Fluoroquinolone Metronidazole Penicillin
INFECTIOUS DISEASES
THERAPEUTIC POTENTIALS
Findings
CONCLUSIONS AND FUTURE PERSPECTIVES
Full Text
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