Pitfalls in Diagnosing Thrombotic Thrombocytopenic Purpura in Sickle Cell Disease
Autor: | Dimitris A. Tsitsikas, Diana Mihalca, John Hall, Jori E. May, Radhika Gangaraju, Marisa B. Marques, Marie Scully |
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Jazyk: | angličtina |
Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Journal of Clinical Medicine, Vol 11, Iss 22, p 6676 (2022) |
Druh dokumentu: | article |
ISSN: | 11226676 2077-0383 |
DOI: | 10.3390/jcm11226676 |
Popis: | Thrombotic thrombocytopenia purpura is characterised by microangiopathic haemolytic anaemia and red cell fragmentation on the peripheral smear, neurological involvement and thrombocytopenia. Diagnosis in the context of sickle cell disease can be challenging due to the inherent haemolytic state and the multitude of other associated complications of the latter. Specifically, fat embolism syndrome characterised by respiratory failure, neurological impairment and thrombocytopenia can be misdiagnosed this way. Confirmation of a diagnosis of thrombotic thrombocytopenic purpura requires demonstration of very low levels ( |
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