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 CASE REPORT
Year : 2011  |  Volume : 15  |  Issue : 2  |  Page : 126--129

Life-threatening postpartum hemolysis, elevated liver functions tests, low platelets syndrome versus thrombocytopenic purpura - Therapeutic plasma exchange is the answer


1 Medical ICU, Department of Critical Care Medicine, Indraprastha Apollo Hospital, New Delhi, India
2 Department of Internal Medicine, Indraprastha Apollo Hospital, New Delhi, India
3 Department of Gynecology and Obstetrics, Indraprastha Apollo Hospital, New Delhi, India
4 Department of Pulmonology and Critical Care Medicine, Indraprastha Apollo Hospital, New Delhi, India

Correspondence Address:
Prashant Nasa
71/9, 1st Floor, Prem Nagar, Janakpuri, New Delhi
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DOI: 10.4103/0972-5229.83016

PMID: 21814380

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The differential diagnosis of life-threatening microangiopathic disorders in a postpartum female includes severe preeclampsia-eclampsia, hemolysis, elevated liver functions tests, low platelets syndrome and thrombotic thrombocytopenic purpura. There is considerable overlapping in the clinical and laboratory findings between these conditions, and hence an exact diagnosis may not be always possible. However, there is considerable maternal mortality and morbidity associated with these disorders. This case underlines the complexity of pregnancy-related microangiopathies regarding their differential diagnosis, multiple organ dysfunction and role of therapeutic plasma exchange in their management.






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