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Thrombotic thrombocytopenic purpura in the presence of connective tissue disease and HIV infection: A diagnostic and therapeutic challenge in a resource- constrained setting

Rubeshan Perumal, Johannes Andries Marais, Susan Brown

Abstract


Thrombotic thrombocytopenic purpura is a catastrophic disease and may occur in the presence of other confounding diseases. We present a case of TTP in a patient with connective tissue disease and HIV infection, in whom the diagnosis and management of TTP was challenging. It is important to understand the various underlying mechanisms that drive TTP in the presence of these comorbid diseases, so that an appropriate treatment strategy can be initiated. Our patient failed an initial trial of plasma infusion alone, but responded well to plasma exchange.  


Authors' affiliations

Rubeshan Perumal, Department of Internal Medicine, School of Clinical Medicine, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa; Centre for the AIDS Programme of Research in South Africa, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

Johannes Andries Marais, Department of Internal Medicine, School of Clinical Medicine, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

Susan Brown, Department of Internal Medicine, School of Clinical Medicine, Nelson R Mandela School of Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

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Keywords

Thrombotic thrombocytopenic purpura; ADAMTS13; Microangiopathy; Undifferentiated connective tissue disease; HIV

Cite this article

South African Medical Journal 2016;106(6):585-588. DOI:10.7196/SAMJ.2016.v106i6.10274

Article History

Date submitted: 2015-10-31
Date published: 2016-05-19

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