Marked Improvement in Refractory TTP Directly after H. pylori Eradication Therapy

Thrombotic thrombocytopenic purpura (TTP) is a life-threatening disorder involving thrombotic microangiopathy and is characterized by increased platelet aggregation throughout the body. Acquired TTP can be triggered by a variety of conditions including infections. We hereby describe a case report of...

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Main Authors: Irina Gringauz, Narin Nard Carmel-Neiderman, Tobin Mangel, Orith Portnoy, Gad Segal, Idan Goren
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2016/1568586
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author Irina Gringauz
Narin Nard Carmel-Neiderman
Tobin Mangel
Orith Portnoy
Gad Segal
Idan Goren
author_facet Irina Gringauz
Narin Nard Carmel-Neiderman
Tobin Mangel
Orith Portnoy
Gad Segal
Idan Goren
author_sort Irina Gringauz
collection DOAJ
description Thrombotic thrombocytopenic purpura (TTP) is a life-threatening disorder involving thrombotic microangiopathy and is characterized by increased platelet aggregation throughout the body. Acquired TTP can be triggered by a variety of conditions including infections. We hereby describe a case report of an 81-year-old female presenting to the internal medicine department with TTP and active chronic gastritis, positive for Helicobacter pylori (H. pylori) on biopsy. The TTP was highly resistant to medical therapy; however the patient underwent complete resolution of her TTP following H. pylori eradication. We conclude that acquired TTP may be triggered by H. pylori infection and that treating the underlying infection may play a role in improving TTP’s outcome in some patients, especially when disease is refractory to medical therapy.
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institution Kabale University
issn 2090-6560
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publishDate 2016-01-01
publisher Wiley
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series Case Reports in Hematology
spelling doaj-art-ba980ec1f8f94dd3be2c739836130fc72025-02-03T06:05:59ZengWileyCase Reports in Hematology2090-65602090-65792016-01-01201610.1155/2016/15685861568586Marked Improvement in Refractory TTP Directly after H. pylori Eradication TherapyIrina Gringauz0Narin Nard Carmel-Neiderman1Tobin Mangel2Orith Portnoy3Gad Segal4Idan Goren5Internal Medicine Ward T, Sheba Medical Center, Tel Hashomer, Ramat Gan, IsraelHasharon Hospital, Campus Rabin, Petah Tikva, IsraelSt George’s University of London, London, UKDepartment of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Ramat Gan, IsraelInternal Medicine Ward T, Sheba Medical Center, Tel Hashomer, Ramat Gan, IsraelInternal Medicine Ward T, Sheba Medical Center, Tel Hashomer, Ramat Gan, IsraelThrombotic thrombocytopenic purpura (TTP) is a life-threatening disorder involving thrombotic microangiopathy and is characterized by increased platelet aggregation throughout the body. Acquired TTP can be triggered by a variety of conditions including infections. We hereby describe a case report of an 81-year-old female presenting to the internal medicine department with TTP and active chronic gastritis, positive for Helicobacter pylori (H. pylori) on biopsy. The TTP was highly resistant to medical therapy; however the patient underwent complete resolution of her TTP following H. pylori eradication. We conclude that acquired TTP may be triggered by H. pylori infection and that treating the underlying infection may play a role in improving TTP’s outcome in some patients, especially when disease is refractory to medical therapy.http://dx.doi.org/10.1155/2016/1568586
spellingShingle Irina Gringauz
Narin Nard Carmel-Neiderman
Tobin Mangel
Orith Portnoy
Gad Segal
Idan Goren
Marked Improvement in Refractory TTP Directly after H. pylori Eradication Therapy
Case Reports in Hematology
title Marked Improvement in Refractory TTP Directly after H. pylori Eradication Therapy
title_full Marked Improvement in Refractory TTP Directly after H. pylori Eradication Therapy
title_fullStr Marked Improvement in Refractory TTP Directly after H. pylori Eradication Therapy
title_full_unstemmed Marked Improvement in Refractory TTP Directly after H. pylori Eradication Therapy
title_short Marked Improvement in Refractory TTP Directly after H. pylori Eradication Therapy
title_sort marked improvement in refractory ttp directly after h pylori eradication therapy
url http://dx.doi.org/10.1155/2016/1568586
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