Retinal involvement in acute thrombotic thrombocytopenic purpura : a case report

BACKGROUND: Thrombotic thrombocytopenic purpura (TTP) is a life-threatening hematological condition associated with deficiency in ADAMTS13. Ocular manifestations associated with TTP are uncommon.

CASE PRESENTATION: Here we report a case where a 44 year old female patient with a history of symptomatic anemia and cotton wool appearance in retina during ophthalmological examination and subsequently, she was diagnosed to have TTP. The proper management with Therapeutic Plasma Exchange (TPE) and IV methylprednisolone improved the condition of the patient markedly.

CONCLUSION: It concludes that even though the presence of cotton wool appearance in retina is a nonspecific sign it needs to be properly evaluated as there can be underlying serious illnesses as in our patient. Cotton wool spots can be an early sign of underlying retinal compromise and it should be identified early.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:20

Enthalten in:

BMC ophthalmology - 20(2020), 1 vom: 19. Nov., Seite 456

Sprache:

Englisch

Beteiligte Personen:

Bandara, A G N M K [VerfasserIn]
Matthias, Anne Thushara [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Case report
Cotton wool spots in retina
Journal Article
Therapeutic Plasma Exchange
Thrombotic Thrombocytopenic Purpura

Anmerkungen:

Date Completed 14.05.2021

Date Revised 14.05.2021

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12886-020-01719-z

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM317805134