rss
Emerg Med J 2006;23:e51 doi:10.1136/emj.2006.036327
  • Emergency casebook

Thrombotic thrombocytopenic purpura mimicking acute ischemic stroke

  1. E Aksay1,
  2. S Kiyan1,
  3. M Ersel1,
  4. O Hudaverdi2
  1. 1Department of Emergency Medicine, Ege University Hospital, Izmir, Turkey
  2. 2Department of Internal Medicine, Ege University Hospital, Izmir, Turkey
  1. Correspondence to:
 Dr E Aksay
 Ege Universitesi Hastanesi, Acil Tıp Anabilim Dalı, 35100, Bornova, Izmir/TURKEY; ersin.aksay{at}ege.edu.tr
  • Accepted 16 April 2006

Abstract

Thrombotic thrombocytopenic purpura (TTP) is an autoimmune disorder characterised by thrombocytopenia, haemolytic anemia, fluctuating neurological deficits, fever, and renal impairment. This case report is about a young man who presented with acute onset right sided paralysis, dysarthria, and central facial paralysis, suggestive of cerebrovascular accident, but eventually diagnosed as TTP. In addition, the clinical presentation of TTP is discussed and some teaching points for the emergency physicians are emphasised.

Footnotes

  • Competing interests: none declared

  • Informed consent was obtained for publication of the person’s details in this report.

Register for free content

The full back archive is now available for all BMJ Journals. Institutional subscribers may access the entire archive as part of their subscription. Personal subscribers will also have access to all content when logged in. Non-subscribers who register have free access to all articles published before 2006 right back to volume 1 issue 1. Register here to access the free archive of all BMJ Journals.

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.