2002, Number 1
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Med Crit 2002; 16 (1)
Thrombotic microangiopathy and haemolysis complicating severe preeclampsia. Case report
Gómez-Bravo TE, Briones GJC, Díaz LPM, López-Llera MM, Ayala RA, Morales EJG, Ávila EF, Ramírez LB, Briones VCG
Language: Spanish
References: 10
Page: 29-32
PDF size: 103.66 Kb.
ABSTRACT
Objective: To present a case of thrombotic thrombocytopenic purpura.
Design: Case report.
Setting: An ICU of a Gynecology and Obstetrics hospital, Toluca, Mexico.
Patient: A 19-yrs-old patient with preeclampsia.
Measurements and main results: Blood hemoglobin 8.1 g/dL, schistocytes in blood smear, creatinine clearance 25.2 mL/min, fractional excretion of sodium 4.8% and calculated colloid osmotic pressure 7.6 mmHg, was found; total destruction of vascular endothelium and thrombosis in a gingival mucous biopsy was observed.
Conclusion: Thrombotic microangiopathy may be present in patients with preeclampsia.
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