Chronic relapsing thrombotic thrombocytopenic purpura in adult onset Still's disease. (Case Report).

Southern Medical Journal,  January, 2003  by Perez, Martin G.V.; Rodwig, Francis R., Jr.

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Abstract: We report the first known case of chronic relapsing thrombotic thrombocytopenic purpura associated with adult-onset Still's disease. The patient presented with diffuse arthralgias, sore throat, and a maculopapular rash involving the trunk and extremities; she was hospitalized with fever and confusion.

Thrombocytopenia, renal failure, and microangiopathic hemolytic anemia developed within several days. After a diagnosis of thrombotic thrombocytopenic purpura was made, she responded well to a series of plasma exchanges. Evaluation for infection, autoimmune disorders, and ...

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