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“Physicians in the ICU see an average of three patients with TMA per year, many of whom are not diagnosed at the time of admission.” ICUの医師は，年間平均3⼈のTMA患者を診ていますが、その多くは⼊院時に診断されていません． Azoulay E, et al. Expert Statements on the Standard of Care in Critically Ill Adult Patients With Atypical Hemolytic Uremic Syndrome. Chest. 2017;152(2):424-434. “These clinical similarities of DIC, TTP, and HUS are a major concern because they pose a risk of misdiagnosis as intensivists are more likely to consider a diagnosis of DIC than of the rarer TTP or HUS, thus delaying potentially lifesaving treatment.” DIC，TTP，HUSの臨床的類似性は，集中治療医がより稀なTTPやHUSの診断よりもDICの診断を考慮する可能性が⾼いため，誤診のリスクをもたらし， 潜在的に救命治療を遅らせるという⼤きな懸念があります． Vincent JL, et al. Thrombocytopenia in the ICU: disseminated intravascular coagulation and thrombotic microangiopathies-what intensivists need to know. Crit Care. 2018;22(1):158. 集中治療室において⾎栓性微⼩⾎管障害症(TMA)の 診断･治療の遅れが懸念される
