We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
ST-Segment-Elevation Myocardial Infarction Unmasking Underlying Systemic Lupus Erythematosus or Representing Thrombotic Thrombocytopenic Purpura? Report of a Challenging Case.
- Authors
Ghodsi, Saeed; Jenab, Yaser; Mohebi, Mehrnaz; Kamranzadeh, Hosein; Mohammadi, Zohre
- Abstract
Thrombotic thrombocytopenic purpura (TTP) is a multisystem disorder that frequently manifests itself with renal and neurological involvements. Cardiac involvement, however, has been rarely reported. In this report, we present a rare case of acquired TTP with acute myocardial infarction (AMI) as the initial manifestation. Although AMI was successfully managed by percutaneous coronary intervention, the patient developed hemolytic anemia, fever, marked thrombocytopenia, oliguria, and renal dysfunction, requiring treatment with plasma exchange and corticosteroids. TTP, albeit extremely rare, should be considered in cases with unexpected thrombocytopenia during acute-phase treatment for AMI as it can be highly lethal if not treated immediately.
- Subjects
PERCUTANEOUS coronary intervention; ADRENOCORTICAL hormones; PLASMA exchange (Therapeutics); MYOCARDIAL infarction; THROMBOTIC thrombocytopenic purpura; SYSTEMIC lupus erythematosus
- Publication
Journal of Tehran University Heart Center, 2021, Vol 16, Issue 2, p84
- ISSN
1735-8620
- Publication type
Article