High-dose verapamil plus trandolapril-induced thrombotic microangiopathy

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GOKEL Y., Paydas S., ACIKALIN A., BOZKURT A.

HAEMATOLOGIA, vol.32, no.3, pp.281-285, 2002 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 32 Issue: 3
  • Publication Date: 2002
  • Doi Number: 10.1163/15685590260461101
  • Journal Name: HAEMATOLOGIA
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.281-285
  • Çukurova University Affiliated: Yes

Abstract

Thrombotic microangiopathy (TMA) is a syndrome characterized by microangiopathic haemolytic anaemia, thrombocytopenia, and several variable signs of organ damage due to the platelet thrombi in the microcirculation. This article reports a case with TMA which developed after ingestion of a high-dose combination of verapamil and trandolapril. To the authors' knowledge, no prior cases of TMA induced by trandolapril (an angiotensin-converting enzyme inhibitor) and verapamil (a calcium channel blocker) have been reported in the literature.