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Table 1 Primary and secondary renal diseases managed with TPE

From: Indications and complications associated with centrifuge-based therapeutic plasma exchange - a retrospective review

Indication

ASFA Category

Recurrent Focal segmental glomerulosclerosis (FSGS)

Anti-GBM, Goodpasture Syndrome with Dialysis Independence or Diffuse Alveolar Hemorrhage

Kidney transplant

ABO compatible

   Antibody-mediated rejection (AMR)

   Desensitization, living donor

ABO incompatible

   Desensitization, living donor

Thrombotic microangiopathy

TTP

Complement-mediated (Factor H autoantibody)

Secondary to Ticlopidine

Catastrophic antiphospholipid syndrome (CAPS)

I

Amyloidosis, systemic, dialysis-related

Myeloma cast nephropathy

Systemic lupus erythematosus (severe)

Kidney transplant

ABO incompatible (Antibody-mediated rejection)

Graft-versus-host disease

Cryoglobulinemia

II

Anti- GBM, Goodpasture Syndrome (Dialysis-dependence, no diffuse alveolar hemorrhage)

Steroid-Resistant FSGS in Native Kidney

Thrombotic Microangiopathy

Coagulation-mediated

Complement- mediated (gene mutation)

Secondary to Clopidogrel

Pregnancy-associated

   Severe or extremely preterm preeclampsia

Infection-associated

   STECa or post-transplant HUSb

Transplantation-associated

ANCAc-associated vasculitis

MPAd, GPAe, or EGPAf

IgA nephropathy (crescentic, chronic progressive)

IgA vasculitis (Crescentic RPGNg or severe extrarenal manifestations)

Nephrogenic systemic fibrosis

Medication overdose

III

Thrombotic Microangiopathy Secondary to Gemcitabine or Quinine

IV

  1. aShigatoxigenic Escherichia coli
  2. bHemolytic-uremic syndrome
  3. cAntineutrophil cytoplasmic antibodies
  4. dMicroscopic polyangiitis
  5. eGranulomatosis with polyangiitis
  6. fEosinophilic granulomatosis with polyangiitis
  7. gRapidly progressive glomerulonephritis