The treatment of thrombotic thrombo-cytopenic purpura with exchange transfusions, plasma infusions, and plasma exchange. multicenter survey and retrospective analysis of current efficacy of therapeutic plasma exchange. The thrombotic thrombocytopenic purpura and hemolyt-ic uremic syndromes: evaluation, management, and long-term out-et al. ADAMTS13 activity in thrombotic thrombocytopenic purpura...

Thrombotic thrombocytopenic purpura (TTP) is mostly attributed to the presence of an autoantibody against ADAMTS-13, a metalloprotease that degrades ultralarge von Willebrand protein multimers. Accumulation of vWF multimers and systemic platelet aggregation lead to microangiopathic thrombosis, hemolytic anemia, and end-organ ischemia. Most patients respond to therapeutic plasma exchange (TPE), ...

A 35 year old woman presented with acute myocardial infarction without any of the usual risk factors: she had never smoked; she had normal blood pressure; she did not have diabetes; plasma concentrations of total cholesterol and high and low density lipoprotein cholesterol, fibrinogen, homocysteine, and Lp(a) lipoprotein were normal. She was not taking oral contraceptives or any other medicatio...

Coronavirus 2019 (COVID-19) is a predominantly respiratory infection caused by severe acute syndrome coronavirus 2 (SARS-CoV-2). It creates hypercoagulable milieu, manifesting at varied extrapulmonary sites as pulmonary embolism, deep venous thrombosis, stroke, myocardial infarction, and mesenteric ischemia. The pathophysiology behind this hypercoagulability still not entirely understood, altho...

Thrombotic thrombocytopenic purpura (TTP) has a varied clinical presentation with possibly rapid deterioration. Neurological involvement in TTP is common. A 75-year-old woman with TTP presented with diffuse ischemic stroke and fatal multi-organ damage following bacterial infections. Coexisting bacterial infection, cardiac dysfunction and diffuse cerebral infarction may be poor prognostic factor...

Thrombotic thrombocytopenic purpura-hemolytic uremic syndrome occurs more commonly in women and among women is commonly associated with pregnancy. Case series of thrombotic thrombocytopenic purpura-hemolytic uremic syndrome from 1964 to 2002 were reviewed (1) to document the reports of occurrence of thrombotic thrombocytopenic purpura-hemolytic uremic syndrome during pregnancy and (2) to search...

There is a risk of post-polypectomy bleeding (PPB) in patients undergoing colonoscopic polypectomy, especially those taking warfarin. Undoubtedly, the use warfarin can raise bleeding, but its withdrawal increases thrombosis. Therefore, management during polypectomy particularly important to balance thrombosis and bleeding. Herein, we reported case due mitral aortic valve replacement who develop...

A 23-year-old female with the diagnosis of idiopathic thrombocytopenic purpura (ITP) was admitted to our hospital with severe chest pain. The electrocardiogram (ECG) revealed acute anterior myocardial infarction. She underwent an immediate cardiac catheterization. An occluded left anterior descending (LAD) was detected by coronary angiography. Reperfusion was performed successfully by angioplas...