Refractory Thrombotic Thrombocytopenic Purpura: A Case Report

• Main Authors: Mohammed Shafi Abdulsalam, Venkateshwaran Radhakrishnan, Prabu Pandurangan
• Format: Article
• Language: English
• Published: JCDR Research and Publications Private Limited 2018-03-01
• Series: Journal of Clinical and Diagnostic Research
• Subjects: n-acetyl cysteine; rituximab; splenectomy
• Online Access: https://jcdr.net/articles/PDF/11237/28444_F(SHU)_Pf1_(MLS_BT_SHU)_PFA(MLS_SL)_PB(MLS_SL)_PN(SL).pdf

Thrombotic Thrombocytopenic Purpura (TTP) is a thrombotic microangiopathy. Clinical manifestations occur due to decreased perfusion to the internal organs. Usually it responds to pulse steroids and plasma exchange. Various therapies are available for refractory cases which respond to N-Acetyl cysteine, cyclosporin, rituximab, bortezomib and caplacizumab. We report a case of refractory TTP in a 29-year-old female, showed improvement with the use of rituximab (anti-CD 20 monoclonal antibody), who presented with history of fever and one episode of seizure.