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, Henry Ford HealthFollow
Ileana Lopez-Plaza, Henry Ford HealthFollow
Dragos Galusca, Henry Ford HealthFollow

Recommended Citation

Navas-Blanco JR, Lopez-Plaza I, Galusca D. Multidisciplinary team approach for an atypical presentation of postpartum thrombotic thrombocytopenic purpura and severe preeclampsia in the Intensive Care Unit. Saudi J Anaesth 2018; 12(4):640-642.

Document Type

Article

Publication Date

10-1-2018

Publication Title

Saudi J Anaesth

Abstract

Thrombotic thrombocytopenic purpura (TTP) is a rare hematologic syndrome during pregnancy with overlapping features of severe preeclampsia and is associated with high morbidity and mortality. We present a case of postpartum TTP, associated with severe preeclampsia. Therapeutic approach for this case included corticosteroids, plasma exchange therapy, and immunomodulatory therapy. We describe the pathophysiology of TTP in pregnancy and its similarities with other disorders that constitute the thrombotic microangiopathy syndrome, as well as other clinical factors which made the final diagnosis challenging. In addition, we highlight the value of a multidisciplinary team care approach to assure an optimal outcome for this clinical scenario.

PubMed ID

30429751

Volume

12

Issue

4

First Page

640

Last Page

642