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Thrombotic thrombocytopenic purpura Shiga toxin hemolytic uremic syndrome Atypical hemolytic uremic syndrome (due to activation of the alternate complement pathway) Antiphospholipid antibody syndrome, often associated with systemic lupus erythematosus Progressive systemic sclerosis Infections, eg, human immunodeficiency virus Pregnancy, preeclampsia, eg, hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome Drug-induced, eg, mitomycin, gemcitabine, vascular endothelial growth factor inhibitors, quinine, calcineurin inhibitors Stem cell transplant