Atypical Clinical Presentation of Thrombotic Thrombocytopenic Purpura Just after Percutaneous Coronary Intervention
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概要
- 論文の詳細を見る
Thrombotic thrombocytopenic purpura （TTP） is a life-threatening illness associated with cardiovascularsurgery, infection and medications. We report a case of a 77-year-old female patient with acute myocardial infarction（AMI） treated with percutaneous coronary intervention and suffered TTP immediately afterwards. This wassuccessfully treated with plasma exchanges. Differential diagnosis of the thrombocytopenia was important and assaysfor the activities of von Willebrand Factor-cleaving protease, its inhibitor and heparin-induced thrombocytopenia（ HIT）antibody were helpful to differentiate TTP from other conditions, including HIT and disseminated intravascularcoagulation. Intensivists should be aware of an atypical presentation of TTP associated with AMI.
- 弘前大学の論文
著者
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HASHIBA Eiji
Intensive Care Unit, Hirosaki University Hospital
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Hirota Kazuyoshi
弘前大学 医学部麻酔科学教室
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TSUBO TOSHIHITO
Intensive Care Unit, Hirosaki University Hospital
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Tsubo Toshihito
Intensive Care Unit Hirosaki University Hospital
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Saito Junichi
Department Of Radiology Maebashi Red Cross Hospital
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Ishihara Hironori
弘前大学 医学研究科麻酔科学講座
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Okawa Hirobumi
Department Of Emergency And Disaster Medicine Hirosaki University Hospital
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Ishihara Hironori
Department Of Anesthesia Hirosaki University Graduate School Of Medicine
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Okawa Hirobumi
Department Of Anesthesia Hirosaki University Graduate School Of Medicine
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Hirota Kazuyoshi
Department Of Anesthesia Hirosaki University Graduate School Of Medicine
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Hashiba Eiji
Division of Intensive Care Unit, Hirosaki University Hospital
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Tsubo Toshihito
Division of Intensive Care Unit, Hirosaki University Hospital
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Saito Junichi
Department Of Anesthesiology Hirosaki University Graduate School Of Medicine
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斎藤 淳一
Department of Anesthesiology, Hirosaki University Graduate School of Medicine
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橋場 英二
Division of Intensive Care Unit, Hirosaki University Hospital
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大川 浩文
Department of Anesthesiology, Hirosaki University Graduate School of Medicine
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