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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}


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.

  • thrombotic thrombocytopenic purpura
  • emergency department
  • acute ischemic stroke
  • dysarthria

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  • Competing interests: none declared

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