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
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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