Thrombotic thrombocytopenic purpura history and symptoms: Difference between revisions

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|Central neurological  
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|Confusion, headache, paresis, aphasia, dysarthria, visual problems, encephalopathy, coma (10%)
|Confusion, headache, paresis, aphasia, dysarthria, visual problems, encephalopathy, stroke-like symptom, coma (10%)
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|Renal Impairment
|Renal Impairment
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|Gastro-intestinal tract(GI)
|Gastro-intestinal tract(GI)
|Abdominal pain
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|Skin
|Skin bleeding – purpura and petechiae
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*Among Central neurological signs often flitting and variable(70–80%),fever (>37·5°C)  
*Among Central neurological signs often flitting and variable(70–80%),fever (>37·5°C)  

Revision as of 16:06, 17 September 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sogand Goudarzi, MD [2]

Overview

The majority of patients with [disease name] are asymptomatic.

OR

The hallmark of [disease name] is [finding]. A positive history of [finding 1] and [finding 2] is suggestive of [disease name]. The most common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3]. Common symptoms of [disease] include [symptom 1], [symptom 2], and [symptom 3]. Less common symptoms of [disease name] include [symptom 1], [symptom 2], and [symptom 3].

History and Symptoms

  • The hallmark of TTP is such as clinical findings HUS.
  • Acute renal failure is rare among TTP patients and more indicative of HUS. [1]

History

Patients with TTP may have a positive history of:[1]

Clinical history of TTP
Thrombocytopenia Epistaxis, bruising, petechiae, gingival bleeding, haematuria, menorrhagia, gastrointestinal bleeding, retinal haemorrhage and haemoptysis
Central neurological Confusion, headache, paresis, aphasia, dysarthria, visual problems, encephalopathy, stroke-like symptom, coma (10%)
Renal Impairment Proteinuria, microhaematuria
Non-specific symptoms Pallor, jaundice, fatigue, arthralgia or myalgia
Jaundice Resulting from microangiopathic haemolytic anaemia
Cardiac Chest pain, heart failure, hypotension
Gastro-intestinal tract(GI) Abdominal pain, nausea and vomiting
Skin Skin bleeding – purpura and petechiae
  • Among Central neurological signs often flitting and variable(70–80%),fever (>37·5°C)

Common Symptoms

Common symptoms of [disease] include:[2]

  • History of autoimmune disease like SLE
  • History of surgery or transplant
  • Drug history
  • Initial symptoms: Fatigue, pale and/or red skin, shortness of breath, bruises, bleeding
  • Headache
  • Numbness
  • Weakness
  • Dizziness
  • Palpitation
  • Abdominal pain
  • Easy bruising
  • Nausea and vomiting
  • Fever
  • Changes in the urine

Less Common Symptoms

Less common symptoms of TTP include:

  • Chills
  • Chest pain
  • Cough

References

  1. 1.0 1.1 Scully M, Hunt BJ, Benjamin S, Liesner R, Rose P, Peyvandi F, Cheung B, Machin SJ (August 2012). "Guidelines on the diagnosis and management of thrombotic thrombocytopenic purpura and other thrombotic microangiopathies". Br. J. Haematol. 158 (3): 323–35. doi:10.1111/j.1365-2141.2012.09167.x. PMID 22624596.
  2. Griffin D, Al-Nouri ZL, Muthurajah D, Ross JR, Ballard RB, Terrell DR; et al. (2013). "First symptoms in patients with thrombotic thrombocytopenic purpura: what are they and when do they occur?". Transfusion. 53 (1): 235–7. doi:10.1111/j.1537-2995.2012.03934.x. PMC 3541531. PMID 23294213.

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