title: Thrombotic thrombocytopenic purpura preceding systemic lupus erythematosus.
abstract: The case of a patient admitted with thrombotic thrombocytopenic purpura nine years after developing systemic lupus erythematosus (SLE) is reported. Thrombotic thrombocytopenic purpura associated with SLE has been described on other occasions, but in most patients the diagnosis of SLE precedes that of thrombotic thrombocytopenic purpura. The unusual sequence and the chronological separation of the two diseases is emphasised.
authors.affiliation: Hospital Valle de Hebron, Department of Internal Medicine, Barcelona, Spain.
authors.forename: C P
authors.initials: CP
authors.lastname: Simeon-Aznar
authors.forename: R
authors.initials: R
authors.lastname: Cuenca-Luque
authors.forename: V
authors.initials: V
authors.lastname: Fonollosa-Pla
authors.forename: J A
authors.initials: JA
authors.lastname: Bosch-Gil
mesh_terms: D000328:Adult; D003520:Cyclophosphamide / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000188:drug therapy; D008775:Methylprednisolone / Q000627:therapeutic use; D011697:Purpura, Thrombotic Thrombocytopenic / Q000150:complications*; D013997:Time Factors
chemical_list: D003520:Cyclophosphamide; D008775:Methylprednisolone