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Thrombotic thrombocytopenic purpura as an etiology of thrombocytopenia in systemic lupus erythematosus: case report
Authors:Yasuaki Hayashino  Hiroyasu Ishimaru  Kazuhiro Hatta  Yosiaki Kohri
Affiliation:(1) Department of Comprehensive Medical Care and Management, Tenri Yorozu Hospital, 200 Mishima, Tenri, 632-8552, Japan;(2) Present address: Department of General Medicine and Clinical Epidemiology, Kyoto University Graduate School of Medicine, 54 Kawahara, Shogoin, Sakyo-ku, Kyoto, 606-8507, Japan
Abstract:
Thrombotic thrombocytopenic purpura (TTP) is an unusual complication of systemic lupus erythematosus (SLE). Although the reported association between SLE and TTP is increasing, a few cases do improve without plasmatherapy. We report a case of TTP which was successfully treated without plasmatherapy, which might be underestimated as an etiology of thrombocytopenia in SLE. TTP should always be considered as a concomitant disease when Coombs' negative hemolytic anemia or thrombocytopenia is seen in SLE patients.
Keywords:Systemic lupus erythematosus (SLE)  Thrombocytopenia  Thrombotic thrombocytopenic purpura (TTP)
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