[Severe thrombocytopenic thrombotic purpura and pregnancy: a case report].
BACKGROUND
Thrombotic thrombocytopenic purpura failure (TTP) is a micro angiopathy caracterized in its severe form by multivisceral involement and early death. The association with pregnancy is rare, the diagnosis is difficult, but imperative because that will allow an early specific management and will improve the diagnosis


METHODS
Our patient is a 25 years old woman admitted in intensive care unit after cesarian section for eclampsia at term. Clinical and biological assessement were in favor at Hellp syndrome. Toxemia complicated with eclampsia and Hell syndrome was the final diagnosis and appropriate treatment followed. However the treatment, diffuse purpuric petechia appeared associated with jaundice, thrombocytopenia. The diagnosis of T.T.P was considered and corticotherapy started at day 8. Patient responded within 48 h and healins was complete after 5 weeks.


CONCLUSIONS
Authors emphasized on the importance of the diagnosis and specific management.
Diop Ndoye
M
M
Service Anesthésie-réanimation, Hôpital Aristide Le Dantec. marie.ndoye@sentoo.sn
Mouloungui
C
C
Diouf
E
E
Kane
O
O
Bèye
M D
MD
Bah
D
D
Ka
Sall B
SB
D000328:Adult; D004461:Eclampsia / Q000175:diagnosis / Q000628:therapy; D005260:Female; D017359:HELLP Syndrome / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000175:diagnosis* / Q000628:therapy; D011697:Purpura, Thrombotic Thrombocytopenic / Q000175:diagnosis* / Q000628:therapy; D012720:Severity of Illness Index