Research Article

Therapeutic Plasma Exchange as Management of Complicated Systemic Lupus Erythematosus and Other Autoimmune Diseases

Table 2

TPE indications and TPE replacement solutions.

TPE indications TPE replacement solution, n (%)Total, n=66
Albumin 5%, n=39Albumin 5% plus Fresh frozen plasma, n=84% succinylated gelatin, n=10Fresh frozen plasma, n=9

DAH8 (20.51)7 (87.5)3 (30)2 (22.22)20 (30.3)
Neuropsychiatric SLE5 (12.81)1 (12.5)2 (20)1 (11.11)9 (13.6)
Rapidly progressive glomerulonephritis6 (15.38)0 (0)1 (10)0 (0)7 (10.6)
Thrombotic microangiopathy1 (2.56)0 (0)1 (10)3 (33.33)5 (7.6)
CAPS3 (7.69)0 (0)0 (0)2 (22.22)5 (7.6)
Lupus nephritis (WHO Class IV)2 (5.13)0 (0)1 (10)1 (11.11)4 (6.1)
Severe skin lupus2 (5.13)0 (0)1 (10)0 (0)3 (4.5)
Inflammatory myopathies3 (7.69)0 (0)0 (0)0 (0)3 (4.5)
Gastrointestinal lupus1 (2.56)0 (0)0 (0)0 (0)1 (1.5)
Severe scleroderma1 (2.56)0 (0)0 (0)0 (0)1 (1.5)
Severe SLE1 (2.56)0 (0)0 (0)0 (0)1 (1.5)
Autoimmune meningoencephalitis1 (2.56)0 (0)0 (0)0 (0)1 (1.5)
Neuromyelitis Optical1 (2.56)0 (0)0 (0)0 (0)1 (1.5)
Rejection of the kidney allograft1 (2.56)0 (0)0 (0)0 (0)1 (1.5)
Type B insulin resistance1 (2.56)0 (0)0 (0)0 (0)1 (1.5)
Evans syndrome1 (2.56)0 (0)0 (0)0 (0)1 (1.5)
Legs vasculitis0 (0)0 (0)1 (10)0 (0)1 (1.5)
CNS Vasculitis1 (2.56)0 (0)0 (0)0 (0)1 (1.5)

TPE: therapeutic plasma exchange; DAH: diffuse alveolar hemorrhage; SLE: systemic lupus erythematosus; CAPS: catastrophic antiphospholipid syndrome; WHO: World Health Organization; CNS: central nervous system.