0

The full content of Annals is available to subscribers

Subscribe/Learn More  >
Brief Reports |

Postpartum Thrombotic Thrombocytopenic Purpura (TTP) Complicating Pregnancy-Associated Immune Thrombocytopenic Purpura (ITP)

Martee Olenich, MD; and Elaine Schattner, MD
[+] Article and Author Information

From The New York Hospital-Cornell Medical Center, New York, New York. Requests for Reprints: Elaine Schattner, MD, Division of Hematology-Oncology, Room C-606, The New York Hospital-Cornell Medical Center, 525 East 68th Street, New York, NY 10021.


Copyright ©2004 by the American College of Physicians


Ann Intern Med. 1994;120(10):845-847. doi:10.7326/0003-4819-120-10-199405150-00005
Text Size: A A A

Although immune thrombocytopenic purpura in pregnancy is common, thrombotic thrombocytopenic purpura is rare and requires aggressive therapy. We report the case of a young pregnant woman with refractory immune thrombocytopenic purpura who developed postpartum thrombotic thrombocytopenic purpura and was successfully treated with plasmapheresis. The case emphasizes the importance of reviewing peripheral blood smears for evaluation of thrombocytopenia even when the diagnosis is felt to be clear. The coexistence of these two disorders has not been previously reported in the English-language literature.

First Page Preview

View Large
First page PDF preview

Figures

Grahic Jump Location
Figure 1.
Peripheral blood smear showing conversion to microangiopathic hemolytic anemia. Top.Bottom.

Prepartum peripheral blood smear with thrombocytopenia and normochromic red blood cells at 36 weeks. Thrombocytopenia with a new schistocytosis and polychromasia on postpartum day 3.

Grahic Jump Location

Tables

References

Letters

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Comments

Submit a Comment
Submit a Comment

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.

Toolkit

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Advertisement
Related Articles
Related Point of Care
Topic Collections

Buy Now

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.
(Required)
(Required)