New strategies in diagnosis and treatment of thrombotic thrombocytopenic purpura: case report and review

1999 ◽  
Vol 158 (11) ◽  
pp. 883-887 ◽  
Author(s):  
J. Häberle ◽  
B. Kehrel ◽  
J. Ritter ◽  
H. Jürgens ◽  
B. Lämmle ◽  
...  
2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Nick N. Patel ◽  
Jason A. Shah ◽  
Christopher K. Sadlack

Thrombotic thrombocytopenic purpura (TTP) is an uncommon and potentially lethal microangiopathy that carries a >90% mortality rate if not treated urgently and appropriately. Postoperative TTP after orthopaedic procedures is particularly rare with only four case reports existing in the literature. We present the case of postoperative TTP in a 57-year-old female who underwent elective total hip arthroplasty. We believe this case adds to the limited literature surrounding the topic. While rare, TTP after orthopaedic procedures poses a real and potentially fatal condition if not managed appropriately. Therefore, it is essential for orthopaedic surgeons to be cognizant of postoperative TTP for timely diagnosis and treatment.


2019 ◽  
Vol 152 (6) ◽  
pp. 244-245
Author(s):  
Eva Hernández Lorente ◽  
Rafael Lluch García ◽  
Emilio Monteagudo Santolaya

2021 ◽  
pp. 1-5
Author(s):  
Maya Kornowski Cohen ◽  
Liron Sheena ◽  
Yair Shafir ◽  
Vered Yahalom ◽  
Anat Gafter-Gvili ◽  
...  

SARS-CoV-2 has been reported as a possible triggering factor for the development of several autoimmune diseases and inflammatory dysregulation. Here, we present a case report of a woman with a history of systemic lupus erythematosus and antiphospholipid syndrome, presenting with concurrent COVID-19 infection and immune thrombotic thrombocytopenic purpura (TTP). The patient was treated with plasma exchange, steroids, and caplacizumab with initial good response to therapy. The course of both TTP and COVID-19 disease was mild. However, after ADAMTS-13 activity was normalized, the patient experienced an early unexpected TTP relapse manifested by intravascular hemolysis with stable platelet counts requiring further treatment. Only 3 cases of COVID-19 associated TTP were reported in the literature thus far. We summarize the literature and suggest that COVID-19 could act as a trigger for TTP, with good outcomes if recognized and treated early.


Author(s):  
Maria Luiza Almeida Bastos ◽  
Ruth Maria Oliveira de Araújo ◽  
Deivide de Sousa Oliveira ◽  
Ana Nery Melo Cavalcante ◽  
Geraldo Bezerra da Silva Junior

Sign in / Sign up

Export Citation Format

Share Document