One month afterwards, she returned presenting weakness and swollen face and legs, which had developed one day earlier. The ADAMTS13 activity was less than 5%, without presence of autoantibodies. [pesquisa.bvsalud.org]

• Hunting

  Scully M, Hunt BJ, Benjamin S, Liesner R, Rose P, Peyvandi F, et al. Guidelines on the diagnosis and management of thrombotic thrombocytopenic purpura and other thrombotic microangiopathies. Br J Haematol. 2012; 158(3): 323-35. [cimel.felsocem.net]

Pathogenesis and treatment of acquired idiopathic thrombotic thrombocytopenic purpura. Haematologica 2010; 95(9): 1444-47. Contreras E, de la Rubia J, del Río-Garma J, Díaz-Ricart M, GarcíaGala JM, Lozano M. [cimel.felsocem.net]

The patient evolved with increasing platelet counts, even without specific treatment, and she was discharged. One month afterwards, she returned presenting weakness and swollen face and legs, which had developed one day earlier. [pesquisa.bvsalud.org]

Comparison of plasma exchange with plasma infusion in the treatment of thrombotic thrombocytopenic purpura. N Engl J Med. 1991; 325(6):393-397. [medigraphic.com]

Epidemiology. 2004; 15(2):208-15. George JN, Nester CM. Syndromes of Thrombotic Microangiopathy. N Engl J Med [Internet]. 2014;371(7):654–66. Available from: http:// www.ncbi.nlm.nih.gov/pubmed/25119611 Bitzan M, Bickford BB, Foster GH. [cimel.felsocem.net]