Blood Research

Clinical scoring systems to estimate the probability of severe ADAMTS13 deficiency in patients with TMA.

French score PLASMIC score
Platelet count ≤30×109 L: +1 <30×109 L: +1
Creatinine level ≤2.26 mg/dL: +1 <2.0 mg/dL: +1
Hemolysis variablea) +1
No active cancer +1
No history of solid-organ or stem-cell transplantation +1
MCV <90 Fl +1
INR <1.5 +1
ANA +1
Total score and likelihood of TTP 0: 2% 0–4 (low risk): 0–4%
1: 70% 5 (intermediate risk): 9–24%
2–3: 94% 6–7 (high risk): 62–82%

a)Reticulocyte count >2.5%, undetectable haptoglobin, or indirect bilirubin >2.0 mg/dL. Abbreviations: MCV, mean corpuscular volume; INR, international normalized ratio; ANA, antinuclear antibody.

Blood Res 2022;57:S37~S43 https://doi.org/10.5045/br.2022.2022005
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