Thrombotic Thrombocytopenic Purpura with Severe Hypertension in a Patient with Systemic Sclerosis Sine Scleroderma and Polymyositis
スポンサーリンク
概要
- 論文の詳細を見る
We present the first documented case of thrombotic thrombocytopenic purpura (TTP) with severe hypertension complicated by polymyositis and systemic sclerosis sine scleroderma. TTP developed in the progressive phase of visceral fibrosis in the absence of skin thickening. ADAMTS13 activity was not useful for the diagnosis of TTP. Although TTP and scleroderma renal crisis (SRC) share similar findings of thrombotic microangiopathy, severe thrombocytopenia with multiple organ injuries and hemorrhagic manifestations suggested TTP rather than SRC. The patients condition improved dramatically with plasmapheresis.
著者
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Kawahata Kimito
Department Of Allergy And Rheumatology Graduate School Of Medicine The University Of Tokyo
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Tanaka Ryoichi
Department Of Biomolecular Engineering Graduate School Of Bioscience And Biotechnology Tokyo Institu
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Yamamoto Kazuhiko
Department Of Allergy And Rheumatology Graduate School Of Medicine The University Of Tokyo
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Okamoto Akiko
Department of Allergy and Rheumatology, The University of Tokyo Hospital, Japan
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Okamoto Akiko
Department of Allergy and Rheumatology, Graduate School of Medicine, the University of Tokyo
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Iwagami Masao
Department of Allergy and Rheumatology, The University of Tokyo Hospital, Japan
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Kubo Kanae
Department of Allergy and Rheumatology, The University of Tokyo Hospital, Japan
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Hagino Noboru
Department of Allergy and Rheumatology, The University of Tokyo Hospital, Japan
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Hagino Noboru
Department of Allergy and Immunological Diseases, Tokyo Metropolitan Komagome Hospital
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Tanaka Ryoichi
Department of Allergy and Rheumatology, The University of Tokyo Hospital, Japan
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