Table 1.

Common clinical manifestations of TA-TMA

AdultaPediatrica
Renal   
 Acute kidney injury 41% 61% 
 Hypertension 32% Common (% not reported) 
 Proteinuria >30 mg/dL 68% 76% 
Neurologic   
 Encephalopathy, confusion, or seizure 25% 23% 
Gastrointestinal   
 Preceding/concurrent acute GVHDb 49% 38% 
 Gastrointestinal bleeding 8% 25% 
Cardiopulmonary   
 Diffuse alveolar hemorrhage 9% 17%c 
 Pericardial effusion Not reported 18% 
 Pulmonary hypertension Not reported 7% 
AdultaPediatrica
Renal   
 Acute kidney injury 41% 61% 
 Hypertension 32% Common (% not reported) 
 Proteinuria >30 mg/dL 68% 76% 
Neurologic   
 Encephalopathy, confusion, or seizure 25% 23% 
Gastrointestinal   
 Preceding/concurrent acute GVHDb 49% 38% 
 Gastrointestinal bleeding 8% 25% 
Cardiopulmonary   
 Diffuse alveolar hemorrhage 9% 17%c 
 Pericardial effusion Not reported 18% 
 Pulmonary hypertension Not reported 7% 
a

Clinical manifestation in selective retrospective cohorts with at least 50 TA-TMA patients or prospective studies 2014-2023: adult—Gavriilaki 2018 (n  =  116), Kraft 2019 (n  =  65), Li 2019 (n    =  192), Heybeli 2020 (n  =  84); pediatric—Jodele 2014 (n  =  39), Dandoy 2021 (n  =  98), Agarwal 2022 (n  =  58). Studies that presented data on all TA-TMA patients at initial diagnosis (instead of selective high-risk or low-risk subset) were included.

b

Either grade 2 to 4 or 1 to 4 depending on the study included; not all GVHDs were gastrointestinal.

c

Number of patients with DAH within 2 weeks of TA-TMA diagnosis.

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