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Published:
Oct 21, 2019Keywords:
Thrombotic thrombocytopenia purpura; systemic lupus erythematous; diagnostic challenge
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A delay in diagnosis: thrombotic thrombocytopenia purpura occurring in systemic lupus erythematous
Abstract
Thrombotic thrombocytopenia purpura (TTP) in the background of systemic lupus erythematous (SLE) remains rare with an incidence of about 2%. Both conditions have overlapping features and can thus be difficult to differentiate and diagnose. A careful review of the peripheral blood smear remain essential often providing many clues. The diagnosis of TTP is a medical emergency and therapy should be instituted immediately. We present one such challenging case where a delay in diagnosis due to limited resources could have proven fatal for our patient.
