Morgensztern Daniel, Kharfan-Dabaja Mohamed A, Tsai Han-Mou, Lian Eric C-Y
Division of Hematology-Oncology, University of Miami, Sylvester Cancer Center, VA Medical Center, Fla 33136, USA.
Acta Haematol. 2002;108(3):154-6. doi: 10.1159/000064706.
Thrombotic thrombocytopenic purpura (TTP) and warm-antibody autoimmune hemolytic anemia (AIHA) are uncommon diseases. Although TTP has been increasingly described in association with autoimmune antibodies, there are very few reports of the association with autoimmune hematological conditions, including idiopathic thrombocytopenic purpura and AIHA. Here we describe a patient with classic manifestations of TTP, who was successfully treated with plasma exchange. A few weeks later, she developed warm-antibody AIHA, which responded promptly to prednisone.
血栓性血小板减少性紫癜(TTP)和温抗体型自身免疫性溶血性贫血(AIHA)是罕见疾病。尽管越来越多的报道称TTP与自身免疫抗体有关,但与自身免疫性血液疾病(包括特发性血小板减少性紫癜和AIHA)相关的报道却非常少。在此,我们描述了一名具有TTP典型表现的患者,该患者通过血浆置换成功治愈。几周后,她又患上了温抗体型AIHA,对泼尼松迅速产生反应。