title: Recurrent thrombotic thrombocytopenic purpura in a patient with systemic lupus erythematosus.
abstract: We encountered a 39-year-old female patient with systemic lupus erythematosus (SLE) in whom thrombotic thrombocytopenic purpura (TTP) recurred. The patient was successfully treated with corticosteroid in combination with immunosuppressive agents. Because TTP complicating SLE is more resistant to treatment than idiopathic TTP, prompt diagnosis and efficacious initial treatment are critical.
authors.affiliation: Division of Respirology, Neurology, and Rheumatology, Department of Medicine, Kurume University School of Medicine, 67 Asahimachi, Kurume, 830-0011, Japan. maruoka@med.kurume-u.ac.jp
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Maruoka
authors.forename: Takeharu
authors.initials: T
authors.lastname: Koga
authors.forename: Yuzuru
authors.initials: Y
authors.lastname: Inoue
authors.forename: Seiyo
authors.initials: S
authors.lastname: Honda
authors.forename: Masaaki
authors.initials: M
authors.lastname: Takeo
authors.forename: Takaaki
authors.initials: T
authors.lastname: Fukuda
authors.forename: Hisamichi
authors.initials: H
authors.lastname: Aizawa
mesh_terms: D051722:ADAM Proteins / Q000096:biosynthesis; D000071120:ADAMTS13 Protein; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000328:Adult; D015897:Comorbidity; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis*; D011697:Purpura, Thrombotic Thrombocytopenic / Q000150:complications* / Q000175:diagnosis*; D012008:Recurrence; D013997:Time Factors; D016896:Treatment Outcome
chemical_list: D000305:Adrenal Cortex Hormones; D007166:Immunosuppressive Agents; D051722:ADAM Proteins; D000071120:ADAMTS13 Protein; C099604:ADAMTS13 protein, human