Title | ADAMTS-13 deficiency: can it cause chronic renal failure? |
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Authors | Bramham, K., Hilton, R., Horsfield, C., McDonald, V., Camilleri, R. and Hunt, B.J. |
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Abstract | We describe a case of a 45-year-old woman with progressive chronic kidney disease (CKD), macrocytic anaemia without fragments or thrombocytopaenia, and thrombotic microangiopathy on renal biopsy. ‘A disintegrin and metalloprotease, with thrombospondin-1-like domains’ (ADAMTS-13) deficiency was detected, and genotyping revealed single-nucleotide polymorphisms known to be associated with reduced ADAMTS-13 secretion and activity. Congenital thrombotic thrombocytopaenic purpura was diagnosed with unusual features of late presentation and absent neurological involvement. ADAMTS-13 deficiency should be considered a cause of CKD when features of thrombotic microangiopathy are present on renal biopsy. |
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Journal | Nephrology, Dialysis, Transplantation |
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Journal citation | 26 (2), pp. 742-744 |
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ISSN | 0931-0509 |
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Year | Feb 2011 |
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Publisher | Oxford University Press |
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Digital Object Identifier (DOI) | https://doi.org/10.1093/ndt/gfq644 |
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Publication dates |
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Published | Feb 2011 |
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