Labs

• Platelet count: 9 x 103/mm3 (9 x 109/L) (normal 140-440 x 103/mm3 [140-440 x 109/L])

• Haptoglobin 15 mg/dL (150 mg/L) (normal 30-200 mg/dL or 300-2,000 mg/L)

• LDH 1,950 units/L (32.5 pkat/L) (normal 100-250 units/L, or 1.67-4.17 pkat/L)

• Hemoglobin 6 g/dL (60 g/L or 3.72 mmol/L) (normal 12. 1-15.1 g/dL or 121-151 g/L or 75-9.36 mmol/L)

• Blood peripheral smear: numerous schistocytes (11-12 per high power field) Given this additional information, is this patient's presentation consistent with TTP? What is the likely etiology of this patient's TTP?

Identify your treatment goals for this patient.

Pharmacologic Therapy Corticosteroids

Corticosteroids can be used for their immunosuppressive effect in combination with PEX; however, they are not efficacious as monotherapy in TTP. The most commonly used agents are methylprednisolone 1 g/day IV for 3 days and prednisone 1 to 2 mg/ kg/day orally for the duration of PEX therapy.

Reducing Blood Pressure Naturally

Reducing Blood Pressure Naturally

Do You Suffer From High Blood Pressure? Do You Feel Like This Silent Killer Might Be Stalking You? Have you been diagnosed or pre-hypertension and hypertension? Then JOIN THE CROWD Nearly 1 in 3 adults in the United States suffer from High Blood Pressure and only 1 in 3 adults are actually aware that they have it.

Get My Free Ebook


Post a comment