A Woman With Headache, Fatigue, and Aphasia

JAMA Pub Date : 2025-05-29 DOI:10.1001/jama.2025.6076

Natalie S. Rosen, Michael Hughes, Andrew Eisenberger

引用次数: 0

Abstract

A woman with no significant medical history had 3 days of headache, fatigue, and expressive aphasia; laboratory testing showed microangiopathic hemolytic anemia, increasing schistocytes on serial blood smears, diminished ADAMTS13 activity, and a high inhibitor titer. What is the diagnosis and what would you do next?

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一个头痛、疲劳和失语的女人

无明显病史的女性有3天头痛、疲劳和表达性失语；实验室检测显示微血管病溶血性贫血，连续血涂片上血吸虫细胞增多，ADAMTS13活性降低，抑制剂滴度高。诊断结果是什么，接下来你会怎么做？

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

JAMA

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