有血栓性血小板减少性紫癜病史的女性复发性中风。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL
Ijele Adimora, Bingnan Zhang, Modupe Idowu
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引用次数: 0

摘要

血栓性血小板减少性紫癜(TTP)是一种以机械性溶血性贫血为特征的微血管疾病,导致终末器官损伤。我们描述了一例TTP的表现为缺血性中风。尽管患者血小板计数正常,乳酸脱氢酶(LDH)水平轻度升高,但TTP的主要表现为卒中。患者接受了两次新鲜冷冻血浆(FFP)输注,出院后ADAMTS13水平证实TTP的诊断。该病例显示了在正常实验室值的情况下,对TTP保持高度怀疑的重要性,并揭示了TTP的许多非典型表现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recurrent Strokes in a Woman with a History of Thrombotic Thrombocytopenic Purpura.

Thrombotic thrombocytopenic purpura (TTP) is a microangiopathy characterized by mechanical hemolytic anemia, resulting in end-organ damage. We describe a case of TTP which presented as an ischemic stroke. The patient presented with stroke as the primary manifestation of TTP despite a normal platelet count and mildly elevated lactate dehydrogenase level (LDH). The patient underwent two transfusions of fresh frozen plasma (FFP), and ADAMTS13 levels confirmed the diagnosis of TTP after discharge. This case demonstrates the importance of maintaining a high index of suspicion for TTP in the setting of normal laboratory values and reveals the many atypical manifestations of TTP.

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来源期刊
Case Reports in Medicine
Case Reports in Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
0.00%
发文量
53
审稿时长
13 weeks
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