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In patients with HIT, it is very important to remove and limit the future use of any heparin products, including low molecular weight heparin (like Lovenox), immediately to prevent further immune response against the platelets. If TTP or HUS is diagnosed, the treatment may include plasma exchange, plasmapheresis, or eculizumab. In cases with severe kidney failure, dialysis may be necessary. In general, platelet transfusion is not necessary, unless an individual with low platelets (less than 50,000) has an active bleeding or hemorrhage, or needs a surgery or other invasive procedures.

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