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Correspondence
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Volume 347:2171-2173 December 26, 2002 Number 26
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Thrombotic Microangiopathies

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 by Moake, J. L.
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To the Editor: We write to address several statements in Dr. Moake's review of thrombotic microangiopathies (Aug. 22 issue).1 First, assays of the activity of the metalloprotease ADAMTS 13 differ in design; the normal range of activity is assay-specific.2 The use of an assay for which the normal range is 79 to 127 percent, rather than 50 to 178 percent, as cited by Moake, permitted the identification of carriers of ADAMTS 13 mutations (45 to 68 percent activity) and linked the defect to the ADAMTS 13 gene.3 We urge caution in comparing the results of different assays.

Also, the identity . . . [Full Text of this Article]


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