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Letter to the Editor

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Blood Res 2016; 51(3):

Published online September 23, 2016

https://doi.org/10.5045/br.2016.51.3.207

© The Korean Society of Hematology

A case of thrombotic thrombocytopenic purpura in late pregnancy

Aye Min Soe*, Nay Min Tun, Elizabeth Guevara, and Maxim Shulimovich

Author Info. +

Division of Hematology and Oncology, The Brooklyn Hospital Center, New York, NY, USA.

Correspondence to : Aye Min Soe. Division of Hematology and Oncology, The Brooklyn Hospital Center, 121 DeKalb Avenue, Brooklyn, New York 11201, USA. a.minsoe77@gmail.com

Received: November 11, 2015; Revised: December 12, 2015; Accepted: January 15, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

FIGURES

Go to
Fig. 1.

Peripheral blood smear showing schistocytes and decreased platelets, characteristics of microangiopathic hemolytic anemia (×500).


Fig. 2.

Platelet count during the patient's hospital stay.


REFERENCES

Go to
  1. Moschcowitz, E. Hyaline thrombosis of the terminal arterioles and capillaries: a hitherto undescribed disease. Proc N Y Pathol Soc, 1924;24;21-24.
  2. Levy, GG, Nichols, WC, Lian, EC, et al. Mutations in a member of the ADAMTS gene family cause thrombotic thrombocytopenic purpura. Nature, 2001;413;488-494.
    Pubmed
  3. Terrell, DR, Williams, LA, Vesely, SK, Lämmle, B, Hovinga, JA, George, JN. The incidence of thrombotic thrombocytopenic purpura-hemolytic uremic syndrome: all patients, idiopathic patients, and patients with severe ADAMTS-13 deficiency. J Thromb Haemost, 2005;3;1432-1436.
    Pubmed
  4. Dashe, JS, Ramin, SM, Cunningham, FG. The long-term consequences of thrombotic microangiopathy (thrombotic thrombocytopenic purpura and hemolytic uremic syndrome) in pregnancy. Obstet Gynecol, 1998;91;662-668.
    Pubmed
  5. Miner, PE, Nutt, RL, Thomas, ME. Thrombotic thrombocytopenic purpura occurring in pregnancy. Am J Obstet Gynecol, 1955;70;611-617.
    Pubmed
  6. Weiner, CP. Thrombotic microangiopathy in pregnancy and the postpartum period. Semin Hematol, 1987;24;119-129.
    Pubmed
  7. Shepard, KV, Bukowski, RM. The treatment of thrombotic thrombocytopenic purpura with exchange transfusions, plasma infusions, and plasma exchange. Semin Hematol, 1987;24;178-193.
    Pubmed
  8. Scully, M, Hunt, BJ, Benjamin, S, et al. Guidelines on the diagnosis and management of thrombotic thrombocytopenic purpura and other thrombotic microangiopathies. Br J Haematol, 2012;158;323-335.
    Pubmed
  9. George, JN. The association of pregnancy with thrombotic thrombocytopenic purpura-hemolytic uremic syndrome. Curr Opin Hematol, 2003;10;339-344.
    Pubmed
  10. Scully, M, Thomas, M, Underwood, M, et al. Thrombotic thrombocytopenic purpura and pregnancy: presentation, management, and subsequent pregnancy outcomes. Blood, 2014;124;211-219.
    Pubmed
  11. Moatti-Cohen, M, Garrec, C, Wolf, M, et al. Unexpected frequency of Upshaw-Schulman syndrome in pregnancy-onset thrombotic thrombocytopenic purpura. Blood, 2012;119;5888-5897.
    Pubmed
  12. Martin, JN, Bailey, AP, Rehberg, JF, Owens, MT, Keiser, SD, May, WL. Thrombotic thrombocytopenic purpura in 166 pregnancies: 1955-2006. Am J Obstet Gynecol, 2008;199;98-104.
    Pubmed
  13. Altuntas, F, Aydogdu, I, Kabukcu, S, et al. Therapeutic plasma exchange for the treatment of thrombotic thrombocytopenic purpura: a retrospective multicenter study. Transfus Apher Sci, 2007;36;57-67.
    Pubmed
  14. Tun, NM, Villani, GM. Efficacy of rituximab in acute refractory or chronic relapsing non-familial idiopathic thrombotic thrombocytopenic purpura: a systematic review with pooled data analysis. J Thromb Thrombolysis, 2012;34;347-359.
    Pubmed
  15. Jiang, Y, McIntosh, JJ, Reese, JA, et al. Pregnancy outcomes following recovery from acquired thrombotic thrombocytopenic purpura. Blood, 2014;123;1674-1680.
    Pubmed

Article

Letter to the Editor

Blood Res 2016; 51(3): 207-210

Published online September 23, 2016 https://doi.org/10.5045/br.2016.51.3.207

Copyright © The Korean Society of Hematology.

A case of thrombotic thrombocytopenic purpura in late pregnancy

Aye Min Soe*, Nay Min Tun, Elizabeth Guevara, and Maxim Shulimovich

Division of Hematology and Oncology, The Brooklyn Hospital Center, New York, NY, USA.

Correspondence to: Aye Min Soe. Division of Hematology and Oncology, The Brooklyn Hospital Center, 121 DeKalb Avenue, Brooklyn, New York 11201, USA. a.minsoe77@gmail.com

Received: November 11, 2015; Revised: December 12, 2015; Accepted: January 15, 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Fig 1.

    Download
    Figure 1.

    Peripheral blood smear showing schistocytes and decreased platelets, characteristics of microangiopathic hemolytic anemia (×500).

    Blood Research 2016; 51: 207-210https://doi.org/10.5045/br.2016.51.3.207

    Fig 2.

    Download
    Figure 2.

    Platelet count during the patient's hospital stay.

    Blood Research 2016; 51: 207-210https://doi.org/10.5045/br.2016.51.3.207

    References

    1. Moschcowitz, E. Hyaline thrombosis of the terminal arterioles and capillaries: a hitherto undescribed disease. Proc N Y Pathol Soc, 1924;24;21-24.
    2. Levy, GG, Nichols, WC, Lian, EC, et al. Mutations in a member of the ADAMTS gene family cause thrombotic thrombocytopenic purpura. Nature, 2001;413;488-494.
      Pubmed
    3. Terrell, DR, Williams, LA, Vesely, SK, Lämmle, B, Hovinga, JA, George, JN. The incidence of thrombotic thrombocytopenic purpura-hemolytic uremic syndrome: all patients, idiopathic patients, and patients with severe ADAMTS-13 deficiency. J Thromb Haemost, 2005;3;1432-1436.
      Pubmed
    4. Dashe, JS, Ramin, SM, Cunningham, FG. The long-term consequences of thrombotic microangiopathy (thrombotic thrombocytopenic purpura and hemolytic uremic syndrome) in pregnancy. Obstet Gynecol, 1998;91;662-668.
      Pubmed
    5. Miner, PE, Nutt, RL, Thomas, ME. Thrombotic thrombocytopenic purpura occurring in pregnancy. Am J Obstet Gynecol, 1955;70;611-617.
      Pubmed
    6. Weiner, CP. Thrombotic microangiopathy in pregnancy and the postpartum period. Semin Hematol, 1987;24;119-129.
      Pubmed
    7. Shepard, KV, Bukowski, RM. The treatment of thrombotic thrombocytopenic purpura with exchange transfusions, plasma infusions, and plasma exchange. Semin Hematol, 1987;24;178-193.
      Pubmed
    8. Scully, M, Hunt, BJ, Benjamin, S, et al. Guidelines on the diagnosis and management of thrombotic thrombocytopenic purpura and other thrombotic microangiopathies. Br J Haematol, 2012;158;323-335.
      Pubmed
    9. George, JN. The association of pregnancy with thrombotic thrombocytopenic purpura-hemolytic uremic syndrome. Curr Opin Hematol, 2003;10;339-344.
      Pubmed
    10. Scully, M, Thomas, M, Underwood, M, et al. Thrombotic thrombocytopenic purpura and pregnancy: presentation, management, and subsequent pregnancy outcomes. Blood, 2014;124;211-219.
      Pubmed
    11. Moatti-Cohen, M, Garrec, C, Wolf, M, et al. Unexpected frequency of Upshaw-Schulman syndrome in pregnancy-onset thrombotic thrombocytopenic purpura. Blood, 2012;119;5888-5897.
      Pubmed
    12. Martin, JN, Bailey, AP, Rehberg, JF, Owens, MT, Keiser, SD, May, WL. Thrombotic thrombocytopenic purpura in 166 pregnancies: 1955-2006. Am J Obstet Gynecol, 2008;199;98-104.
      Pubmed
    13. Altuntas, F, Aydogdu, I, Kabukcu, S, et al. Therapeutic plasma exchange for the treatment of thrombotic thrombocytopenic purpura: a retrospective multicenter study. Transfus Apher Sci, 2007;36;57-67.
      Pubmed
    14. Tun, NM, Villani, GM. Efficacy of rituximab in acute refractory or chronic relapsing non-familial idiopathic thrombotic thrombocytopenic purpura: a systematic review with pooled data analysis. J Thromb Thrombolysis, 2012;34;347-359.
      Pubmed
    15. Jiang, Y, McIntosh, JJ, Reese, JA, et al. Pregnancy outcomes following recovery from acquired thrombotic thrombocytopenic purpura. Blood, 2014;123;1674-1680.
      Pubmed
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