Literature DB >> 23473755

Systemic lupus erythematosus and thrombotic thrombocytopenia purpura: a refractory case without lupus activity.

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.
Copyright © 2012 Elsevier España, S.L. All rights reserved.

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


  4 in total

1.  Outcomes of rituximab therapy in refractory lupus: A meta-analysis.

Authors:  Fatma Alshaiki; Elaf Obaid; Abdulqader Almuallim; Rabab Taha; Hadeel El-Haddad; Hani Almoallim
Journal:  Eur J Rheumatol       Date:  2018-02-13

2.  Multidisciplinary team approach for an atypical presentation of postpartum thrombotic thrombocytopenic purpura and severe preeclampsia in the Intensive Care Unit.

Authors:  Jose R Navas-Blanco; Ileana Lopez-Plaza; Dragos M Galusca
Journal:  Saudi J Anaesth       Date:  2018 Oct-Dec

3.  Quiescent Systemic Lupus Erythematosus Manifesting with Thrombotic Thrombocytopenic Purpura and Acute Renal Failure: A Case Report and Short Literature Review.

Authors:  Konstantinos Melissaropoulos; Panagiotis Georgiou
Journal:  Mediterr J Rheumatol       Date:  2021-12-27

4.  Heparin-Related Thrombocytopenia Triggered by Severe Status of Systemic Lupus Erythematosus and Bacterial Infection.

Authors:  Satoshi Suzuki; Shihoko Nakajima; Taiki Ando; Keisuke Oda; Manabu Sugita; Kunimi Maeda; Yutaka Nakiri; Yoshinari Takasaki
Journal:  Case Rep Rheumatol       Date:  2016-09-06
  4 in total

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