Atypical Clinical Presentation of Thrombotic Thrombocytopenic Purpura Just after Percutaneous Coronary Intervention

フォーマット:

論文

責任表示:

Saito, Junichi ; Hashiba, Eiji ; Okawa, Hirobumi ; Tsubo, Toshihito ; Ishihara, Hironori ; Hirota, Kazuyoshi

言語:

英語

出版情報:

弘前大学大学院医学研究科・弘前医学会, 2011-12-26

著者名:

Saito, Junichi

Hashiba, Eiji

Okawa, Hirobumi

Tsubo, Toshihito

Ishihara, Hironori

Hirota, Kazuyoshi

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掲載情報:

弘前医学

ISSN:

0439-1721      

巻:

62

通号:

2-4

開始ページ:

199

終了ページ:

204

バージョン:

publisher

概要:

Thrombotic thrombocytopenic purpura （TTP） is a life-threatening illness associated with cardiovascularsurgery, infection and medications. We report a case of a 77-year-old female patient with acute myocardial infarction（AMI） treated with pe … rcutaneous coronary intervention and suffered TTP immediately afterwards. This wassuccessfully treated with plasma exchanges. Differential diagnosis of the thrombocytopenia was important and assaysfor the activities of von Willebrand Factor-cleaving protease, its inhibitor and heparin-induced thrombocytopenia（ HIT）antibody were helpful to differentiate TTP from other conditions, including HIT and disseminated intravascularcoagulation. Intensivists should be aware of an atypical presentation of TTP associated with AMI. 続きを見る

URL:

http://hdl.handle.net/10129/4516