Ng S C, Adam B A
Department of Pathology, Medical Faculty, University of Malaya, Kuala Lumpur.
Postgrad Med J. 1990 Nov;66(781):955-7. doi: 10.1136/pgmj.66.781.955.
A 27 year old housewife developed thrombotic thrombocytopenic purpura during the twelfth week of pregnancy. She had partial response to initial plasma infusion and subsequent plasmapheresis. However, her clinical course was complicated by the development of severe pancytopenia the consequence of a hypocellular marrow. She succumbed to septicaemic shock one month after diagnosis. The development of hypocellular marrow in thrombotic thrombocytopenic purpura has not been reported before.
一名27岁的家庭主妇在怀孕第12周时患上了血栓性血小板减少性紫癜。她对初始血浆输注和随后的血浆置换有部分反应。然而,她的临床病程因严重全血细胞减少症的出现而变得复杂,这是骨髓细胞减少的结果。她在诊断后一个月死于败血症性休克。血栓性血小板减少性紫癜中出现骨髓细胞减少此前尚未见报道。