title: Life-threatening postpartum hemolysis, elevated liver functions tests, low platelets syndrome versus thrombocytopenic purpura - Therapeutic plasma exchange is the answer.
abstract: The differential diagnosis of life-threatening microangiopathic disorders in a postpartum female includes severe preeclampsia-eclampsia, hemolysis, elevated liver functions tests, low platelets syndrome and thrombotic thrombocytopenic purpura. There is considerable overlapping in the clinical and laboratory findings between these conditions, and hence an exact diagnosis may not be always possible. However, there is considerable maternal mortality and morbidity associated with these disorders. This case underlines the complexity of pregnancy-related microangiopathies regarding their differential diagnosis, multiple organ dysfunction and role of therapeutic plasma exchange in their management.
authors.affiliation: Medical ICU, Departments of Critical Care Medicine, Indraprastha Apollo Hospital, New Delhi, India.
authors.forename: Prashant
authors.initials: P
authors.lastname: Nasa
authors.forename: J M
authors.initials: JM
authors.lastname: Dua
authors.forename: Sudha
authors.initials: S
authors.lastname: Kansal
authors.forename: Geeta
authors.initials: G
authors.lastname: Chadha
authors.forename: Rajesh
authors.initials: R
authors.lastname: Chawla
authors.forename: Manav
authors.initials: M
authors.lastname: Manchanda