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The Obfuscation Continues. Severe Preeclampsia versus Thrombotic Thrombocytopenic Purpura

Citation

Thorp, John M., Jr.; Wells, Steven R.; & Bowes, Watson A., Jr. (1991). The Obfuscation Continues. Severe Preeclampsia versus Thrombotic Thrombocytopenic Purpura. North Carolina Medical Journal, 52(4), 126-128.

Abstract

A 20-year-old black woman, gravida 2, para0100, with an intrauterine pregnancy at 26 weeks was transferred to our hospital for management of severe preeclampsia. She had presented to her local physician on the morning of transfer with right upper quadrant pain. Diastolic blood pressures were 80 to 90 and she had 3+ proteinuria. General physical exam was within normal limits. Laboratory analysis included a white blood cell count of 14.9, hemoglobin of 6.9 g/100 mL, hematocrit of 19.9%, platelet count of 7,000, prothrombin time (PT) of 13.7 seconds, activated partial thromboplastin (PTT) time of 32 seconds, fibrinogen of 485 mg/dL, glucose of 81 mg/dL, uric acid of 8.7 mg/dL, and total protein of 5.8 g/dL. Her peripheral smear revealed schistocytes and burr cells.

Reference Type

Journal Article

Year Published

1991

Journal Title

North Carolina Medical Journal

Author(s)

Thorp, John M., Jr.
Wells, Steven R.
Bowes, Watson A., Jr.