TA-TMA diagnostic criteria used
| Category . | Cho criteria (5/5) . | Jodele criteria (4/7) . |
|---|---|---|
| Presence of schistocytes | X | X |
| Increased LDH | X | X |
| Thrombocytopenia or need for platelet transfusions | X | X |
| Anemia or required RBC transfusions | X | X |
| Negative Coombs test | X | |
| Other | No coagulopathy | HTN >99th percentile for age (<18 y) or 140/90 mm Hg (>18 y) or needing ≥2 antihypertensive medications |
| Proteinuria | ≥30 mg/dL on random UA* | |
| Terminal complement activation | Plasma sC5b-9 above normal (≥244 ng/mL)* |
| Category . | Cho criteria (5/5) . | Jodele criteria (4/7) . |
|---|---|---|
| Presence of schistocytes | X | X |
| Increased LDH | X | X |
| Thrombocytopenia or need for platelet transfusions | X | X |
| Anemia or required RBC transfusions | X | X |
| Negative Coombs test | X | |
| Other | No coagulopathy | HTN >99th percentile for age (<18 y) or 140/90 mm Hg (>18 y) or needing ≥2 antihypertensive medications |
| Proteinuria | ≥30 mg/dL on random UA* | |
| Terminal complement activation | Plasma sC5b-9 above normal (≥244 ng/mL)* |
RBC, red blood cell; UA, urinanalysis; X, required.
Presence of proteinuria and elevated complement are described as high-risk features with OS <80% in a historic untreated cohort.11