title: Thrombotic thrombocytopenic purpura first seen as massive vaginal necrosis.
abstract: Thrombotic thrombocytopenic purpura is a hematologic disorder that affects the microcirculation. A 38-year-old woman was first seen with fever, thrombocytopenia, and vaginal bleeding. Pelvic examination revealed massive vaginal necrosis. Hematology consultation resulted in agreement with the diagnosis of thrombotic thrombocytopenic purpura. This is the first reported case of thrombotic thrombocytopenic purpura first seen as vaginal necrosis of which we are aware.
authors.affiliation: Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta 30912-3345.
authors.forename: D C
authors.initials: DC
authors.lastname: Gallup
authors.forename: T E
authors.initials: TE
authors.lastname: Nolan
authors.forename: D
authors.initials: D
authors.lastname: Martin
authors.forename: D G
authors.initials: DG
authors.lastname: Gallup
authors.forename: D M
authors.initials: DM
authors.lastname: Sherline
mesh_terms: D000328:Adult; D001806:Blood Urea Nitrogen; D003042:Cocaine; D003404:Creatinine / Q000652:urine; D005260:Female; D006801:Humans; D009336:Necrosis; D011041:Poisoning; D011696:Purpura, Thrombocytopenic / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D019966:Substance-Related Disorders; D014621:Vagina / Q000473:pathology*
chemical_list: D003404:Creatinine; D003042:Cocaine