Recurrent thrombotic thrombocytopenic purpura in a patient with systemic lupus erythematosus.
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.
Maruoka
Hiroshi
H
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
Koga
Takeharu
T
Inoue
Yuzuru
Y
Honda
Seiyo
S
Takeo
Masaaki
M
Fukuda
Takaaki
T
Aizawa
Hisamichi
H
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
D000305:Adrenal Cortex Hormones; D007166:Immunosuppressive Agents; D051722:ADAM Proteins; D000071120:ADAMTS13 Protein; C099604:ADAMTS13 protein, human