Evolution of TTP treatment

The past (1924 to 1975): No effective treatment 
 10% survival 
The beginning (1976 to 1990): Effective treatment 
 Whole-blood exchange transfusion (1976) 
 Plasma infusion (1977) 
The present (1991 to 2020): Increasingly effective treatment 
 Plasma exchange (1991, 78% survival) 
 Corticosteroids (1991) 
 Plasma exchange, corticosteroids, rituximab (2002) 
 Plasma exchange, corticosteroids, rituximab, caplacizumab (2020, 99% survival)* 
The future? (2021-): Simpler, safer treatment 
 Caplacizumab, rituximab 
The past (1924 to 1975): No effective treatment 
 10% survival 
The beginning (1976 to 1990): Effective treatment 
 Whole-blood exchange transfusion (1976) 
 Plasma infusion (1977) 
The present (1991 to 2020): Increasingly effective treatment 
 Plasma exchange (1991, 78% survival) 
 Corticosteroids (1991) 
 Plasma exchange, corticosteroids, rituximab (2002) 
 Plasma exchange, corticosteroids, rituximab, caplacizumab (2020, 99% survival)* 
The future? (2021-): Simpler, safer treatment 
 Caplacizumab, rituximab 
*

Coppo et al.

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