Open AccessDelayed Postpartum Hemorrhage — A Rare Clinical Presentation of Thrombotic Thrombocytopenic Purpura‐Hemolytic Uremic Syndrome: A Case Report
Author(s) -
Chen YuChieh,
Chen HungSheng,
Shen ChingJu,
Chang HueiMing,
Tsai EingMei
Publication year - 2005
Publication title -
the kaohsiung journal of medical sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.439
H-Index - 36
eISSN - 2410-8650
pISSN - 1607-551X
DOI - 10.1016/s1607-551x(09)70163-9
Subject(s) - medicine , thrombotic thrombocytopenic purpura , microangiopathic hemolytic anemia , pregnancy , thrombotic microangiopathy , hemolytic anemia , presentation (obstetrics) , schistocyte , postpartum period , incidence (geometry) , pediatrics , purpura (gastropod) , dermatology , obstetrics , platelet , disease , ecology , physics , biology , optics , genetics
Thrombotic thrombocytopenic purpura (TTP) and hemolytic uremic syndrome (HUS) are rare and closely related disorders characterized by microangiopathic hemolytic anemia, thrombocytopenia, and renal failure. Many risk factors have been reported including infection, cancer, pregnancy, a variety of drugs (e.g. anticancer drugs), and autoimmune diseases. The incidence of TTP‐HUS is higher in females than in males, especially during pregnancy and the immediate postpartum period. Review of the literature reveals that delayed postpartum hemorrhage is a rare clinical presentation of TTP‐HUS. We report a case of TTP‐HUS with recurrent delayed postpartum hemorrhage and dismal outcome.