Hemostasis Today
NewsFeed
Headlines Hematology Health Medicine VTE ASH Plasma Donation
July, 2026
July 2026
M T W T F S S
 12345
6789101112
13141516171819
20212223242526
2728293031  
Methamphetamine Abuse Triggers Severe Thrombotic Microangiopathy
Jun 16, 2025, 09:37

Methamphetamine Abuse Triggers Severe Thrombotic Microangiopathy

Sanjeev Sethi, Professor of Pathology and Renal Pathologist at Mayo Clinic,  shared a clinical case on X.

“Methamphetamine abuse=severe thrombotic microangiopathy
Unfortunate weekend case. Glomeruli: mesangiolysis and ischemic changes
Interstitium: Hemorrhage, inflammation & scarring
Vessels: Severe sclerosis, thrombosis, schistocytes
40-yr woman, hypertension, AKI, meth abuse”

thrombotic microangiopathy

In this biopsy from a 40-year-old hypertensive patient with acute kidney injury and chronic methamphetamine use, histology revealed:

  • Glomeruli: marked mesangiolysis and ischemic collapse
  • Interstitium: extensive hemorrhage, inflammatory infiltrates, and fibrosis
  • Vessels: complete arterial occlusion, widespread thrombosis, and vascular sclerosis, with schistocyte formation

This case underscores the devastating microvascular injury drugs like methamphetamine can inflict, mimicking classic thrombotic microangiopathy. Early recognition of drug-induced TMA is critical—prompt discontinuation of the offending agent and supportive care may improve renal outcomes.

Stay up to date with Hemostasis Today for more case reviews.

Headlines Hematology Hemostasis Hemostasis Today Methamphetamine Abuse Sanjeev Sethi thrombosis thrombotic microangiopathy
NewsFeed