| Literature DB >> 23473755 |
Raimundo Garcia Boyero1, Eva Mas Esteve, Maria Mas Esteve, M Magdalena Millá Perseguer, Josefa Marco Buades, Juan Beltran Fabregat, Guillermo Cañigral Ferrando, Miguel Angel Belmonte Serrano.
Abstract
The association between systemic lupus erythematosus (SLE) and thrombotic thrombocytopenic purpura (TTP) has been infrequently reported. Usually, patients with TTP have more SLE activity and frequent renal involvement. Here we present a case of TTP associated to low-activity SLE. The absence of renal and major organ involvement increased the difficulty in making the initial diagnosis. ADAMTS13 activity in plasma in this patient was very low, as seen in other similar cases. The evolution of the patient was poor, needing plasma exchanges and immunosuppressive therapy, including the use of rituximab.Entities:
Keywords: ADAMTS13; Anemia hemolítica microangiopática; Lupus eritematoso sistémico; Microangiopathic hemolytic anemia; Plasma exchange; Púrpura trombótica trombocitopénica; Recambios plasmáticos; Rituximab; Systemic lupus erythematosus; Thrombotic thrombocytopenic purpura
Mesh:
Year: 2013 PMID: 23473755 DOI: 10.1016/j.reuma.2012.11.005
Source DB: PubMed Journal: Reumatol Clin ISSN: 1699-258X