Thrombotic Microangiopathy in Pregnancy: Current Understanding and Management Strategies

IF 5.7 2区 医学 Q1 UROLOGY & NEPHROLOGY Kidney International Reports Pub Date : 2024-08-01 DOI:10.1016/j.ekir.2024.05.016
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Abstract

Thrombotic microangiopathy (TMA) represents a heterogeneous group of disorders characterized by microvascular thrombosis and end-organ damage. Pregnancy-associated thrombotic microangiopathy (p-TMA) has emerged as a distinct clinical entity with unique diagnostic challenges. Identifying the specific form of p-TMA is critical for appropriate and timely management. This review offers a comprehensive overview of the various forms of thrombotic microangiopathies associated with pregnancy, highlighting our current understanding of their pathophysiology and the evolving landscape of diagnosis and treatment for each.

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妊娠期血栓性微血管病:目前的认识和管理策略
血栓性微血管病(TMA)是一组以微血管血栓形成和内脏损害为特征的异质性疾病。妊娠相关性血栓性微血管病(p-TMA)已成为一种独特的临床实体,具有独特的诊断挑战。确定 p-TMA 的具体形式对于进行适当和及时的治疗至关重要。本综述全面概述了与妊娠相关的各种形式的血栓性微血管病,重点介绍了我们目前对其病理生理学的理解以及每种病的诊断和治疗的演变情况。
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来源期刊
Kidney International Reports
Kidney International Reports Medicine-Nephrology
CiteScore
7.70
自引率
3.30%
发文量
1578
审稿时长
8 weeks
期刊介绍: Kidney International Reports, an official journal of the International Society of Nephrology, is a peer-reviewed, open access journal devoted to the publication of leading research and developments related to kidney disease. With the primary aim of contributing to improved care of patients with kidney disease, the journal will publish original clinical and select translational articles and educational content related to the pathogenesis, evaluation and management of acute and chronic kidney disease, end stage renal disease (including transplantation), acid-base, fluid and electrolyte disturbances and hypertension. Of particular interest are submissions related to clinical trials, epidemiology, systematic reviews (including meta-analyses) and outcomes research. The journal will also provide a platform for wider dissemination of national and regional guidelines as well as consensus meeting reports.
期刊最新文献
Corrigendum to “Randomized Controlled Trial on the Efficacy of Reduced-Dose Cyclical Corticosteroids and Cyclophosphamide in Primary Membranous Nephropathy” [Kidney International Reports Volume 10, Issue 11, November 2025, Pages 3785-3795] Rescue Therapy With Pegcetacoplan in a Patient With Proliferative Glomerulonephritis With Monoclonal Immunoglobulin Deposits Long-Term Outcomes of IgM-Positive Plasma Cell Tubulointerstitial Nephritis Kidney Transplantation in Patients With Erdheim-Chester Disease Corrigendum to “CARI Guideline: Evidence-Based Recommendations for Balanced Electrolyte Solutions to Improve Kidney Transplant Outcomes” [Kidney International Reports Volume 10, Issue 8, August 2025, Pages 2566-2574]
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