Comments on Prevalence of Thrombotic Microangiopathy Among Patients with Snake Bite-Induced Hemotoxic Clinical Syndrome in the Hills of Himachal Pradesh, India
Year: 2024
Type: conference-abstract
Abstract: Dear Sir, We have read the article from your esteemed journal which could be cited as, Ihsan, Haseeb; Raina, Sujeet; Raina, Rashmi K.1; Sharma, Rajesh. Prevalence of Thrombotic Microangiopathy Among Patients With Snake Bite-Induced Hemotoxic Clinical Syndrome in the Hills of Himachal Pradesh, India. Medical Journal of Dr. D.Y. Patil Vidyapeeth 17 (2):p 322–327, Mar–Apr 2024. | DOI: 10.4103/mjdrdypu.mjdrdypu_669_22. We would like to congratulate you for conducting such a detailed study regarding thrombotic microangiopathy (TMA) due to snakebite. It becomes particularly important as it is conducted in hilly areas of Himachal Pradesh, India. The treatment line differs in the case of TMA due to snakebite and thus it becomes important for early detection of TMA. The diagnosis of TMA could be arrived at by the presence of a triad of MAHA (Micro Angiopathic Hemolytic Anemia) showing the presence of schistocytes and microspherocytes, thrombocytopenia, and acute kidney injury after snakebite.[1] Seven such cases were diagnosed. Surprisingly, prothrombin time (PT) and international normalized ratio (INR) values were not done in the patients. Particularly, INR values are important in diagnosing and monitoring TMA. Thrombocytopenia and anemia were found to be significantly associated with TMA cases. Finally, the prevalence of venom-induced consumption coagulopathy (VICC) is not calculated. Data availability statement Data sharing is not applicable to this article as no datasets were generated and/or analyzed during the current study. Author contribution All authors contributed equally to reviewing the literature; analysis, interpretation of data and drafting the article. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.
Language: English
Subfield: Immunology
Field: Immunology and Microbiology
Domain: Life Sciences
Open Access status: diamond
OpenAlex ID: W4407834821