主要是 IgG,其中以 IgG4 subclass 最常見,可在 >90% 病人測到,且可持續數週至數個月;少數持續高效價者容易變成難治或致命。
後天免疫型佔所有 TTP 超過 95%,先天型(Upshaw-Schulman)極少。
#血液專科
https://hema-2026.hsiehting.com/q/112-032
主要是 IgG,其中以 IgG4 subclass 最常見,可在 >90% 病人測到,且可持續數週至數個月;少數持續高效價者容易變成難治或致命。
後天免疫型佔所有 TTP 超過 95%,先天型(Upshaw-Schulman)極少。
#血液專科
https://hema-2026.hsiehting.com/q/112-032
臨床緩解後約 16% 會復發,所以要定期追 ADAMTS13 活性。
當活性掉到 10–20% 以下即給預防性 rituximab,可顯著降低臨床復發(OR 0.09)。
高復發風險:ADAMTS13 ≤20% 加抗 ADAMTS13 抗體 ≥15 U/mL。
#血液專科
https://hema-2026.hsiehting.com/q/114-027
臨床緩解後約 16% 會復發,所以要定期追 ADAMTS13 活性。
當活性掉到 10–20% 以下即給預防性 rituximab,可顯著降低臨床復發(OR 0.09)。
高復發風險:ADAMTS13 ≤20% 加抗 ADAMTS13 抗體 ≥15 U/mL。
#血液專科
https://hema-2026.hsiehting.com/q/114-027
#epsteinweb #efta01100297
https://epsteinweb.org
Available in the iOS app store now!
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#epsteinweb #efta01100297
https://epsteinweb.org
Available in the iOS app store now!
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https://epsteinweb.org
Available in the iOS app store now!
https://apps.apple.com/us/app/epstein-web/id6758880661
#epsteinweb #efta00957115
https://epsteinweb.org
Available in the iOS app store now!
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#epsteinweb #efta00950248
https://epsteinweb.org
Available in the iOS app store now!
https://apps.apple.com/us/app/epstein-web/id6758880661
#epsteinweb #efta00950248
https://epsteinweb.org
Available in the iOS app store now!
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#epsteinweb #efta00661620
https://epsteinweb.org
Available in the iOS app store now!
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#epsteinweb #efta00661620
https://epsteinweb.org
Available in the iOS app store now!
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#epsteinweb #efta00657720
https://epsteinweb.org
Available in the iOS app store now!
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https://epsteinweb.org
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https://epsteinweb.org
Available in the iOS app store now!
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#epsteinweb #efta00486756
https://epsteinweb.org
Available in the iOS app store now!
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#HemeSky
#HemeSky
#epsteinweb #efta00207298
https://epsteinweb.org
Available in the iOS app store now!
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https://epsteinweb.org
Available in the iOS app store now!
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#epsteinweb #efta00106372
https://epsteinweb.org
Available in the iOS app store now!
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#epsteinweb #efta00106372
https://epsteinweb.org
Available in the iOS app store now!
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Available in the iOS app store now!
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Available in the iOS app store now!
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Available in the iOS app store now!
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Available in the iOS app store now!
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Available in the iOS app store now!
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https://epsteinweb.org
Available in the iOS app store now!
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Cheers to Manon for her work in the lead role. My French is getting a workout too. #France #streaming #tvsky
www.youtube.com/watch?v=ITtp...
Cheers to Manon for her work in the lead role. My French is getting a workout too. #France #streaming #tvsky
www.youtube.com/watch?v=ITtp...
#epsteinweb #efta01935554
https://epsteinweb.org
Available in the iOS app store now!
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#epsteinweb #efta01935554
https://epsteinweb.org
Available in the iOS app store now!
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Series premiere on March 27 on HBO Max www.youtube.com/watch?v=ITtp...
Series premiere on March 27 on HBO Max www.youtube.com/watch?v=ITtp...