Agyapong Kwabena Oteng, Folson Aba, Wonkyi Roland, Amenyedor Kelvin, Boateng Jeffrey J, Fiador Kate
Department of Internal Medicine Greater Accra Regional Hospital Ridge - Accra Ghana.
School of Medicine University of Health and Allied Sciences Ho Ghana.
Clin Case Rep. 2023 Jan 16;11(1):e6860. doi: 10.1002/ccr3.6860. eCollection 2023 Jan.
We report on a young Ghanaian female who was diagnosed with thrombotic thrombocytopenic purpura (TTP) but had an ischemic stroke as the initial presentation. She was successfully treated with therapeutic plasma exchange. This case illustrates how TTP can masquerade as ischemic stroke and the application of PLASMIC score without ADAMTS-13 assay in risk prediction.
我们报告了一名年轻的加纳女性,她被诊断为血栓性血小板减少性紫癜(TTP),但最初表现为缺血性中风。她通过治疗性血浆置换成功治愈。该病例说明了TTP如何伪装成缺血性中风,以及在风险预测中如何在不进行ADAMTS-13检测的情况下应用PLASMIC评分。