Open AccessThrombocytopenia-associated multiple organ failure or severe haemolysis, elevated liver enzymes, low platelet count in a postpartum case
Author(s) -
Manish Jagia,
Salah Taqi,
Mahmoud Hanafi,
Aisha Fakeir
Publication year - 2013
Publication title -
indian journal of anaesthesia/indian journal of anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.645
H-Index - 30
eISSN - 0976-2817
pISSN - 0019-5049
DOI - 10.4103/0019-5049.108568
Subject(s) - medicine , thrombotic microangiopathy , hellp syndrome , haemolysis , disseminated intravascular coagulation , thrombotic thrombocytopenic purpura , platelet , schistocyte , gastroenterology , purpura (gastropod) , pregnancy , preeclampsia , immunology , ecology , disease , biology , genetics
Thrombocytopenia-associated multiple organ failure (TAMOF) is a thrombotic microangiopathic syndrome that includes thrombotic thrombocytopenic purpura, secondary thrombotic microangiopathy, and disseminated intravascular coagulation. We report a case of postpartum female who presented with TAMOF or severe Haemolysis, elevated liver enzymes, low platelet count (HELLP) which was managed with plasma exchange. This case report is to make clinicians aware that TAMOF, severe HELLP, and other differential diagnosis in a postpartum case have a thin differentiating line and plasma exchange can be considered as one of the management options.