Work

Early Recognition of Atypical Thrombotic Thrombocytopenic Purpura (TTP) in Severe Asymptomatic Thrombocytopenia Using the PLASMIC Score and Peripheral Blood Smear

Year: 2025

Type: article

Abstract: Thrombotic thrombocytopenic purpura (TTP) is the clinical syndrome of cluster symptoms of thrombotic microangiopathy, which rarely manifests with all classic symptoms of fever, neurological changes, acute kidney failure, hemolytic anemia, and thrombocytopenia. This case describes a patient who was admitted for acute abdominal pain, initially suspected to be pancreatitis, and found to have severe, asymptomatic thrombocytopenia. The diagnostic challenge was compounded by overlapping factors, including chronic alcohol use and vitamin B12 deficiency. A comprehensive workup, including PLASMIC score (platelet count, hemolysis, absence of active cancer, absence of solid organ or stem cell transplant, mean corpuscular volume, international normalized ratio, and creatinine) assessment and peripheral blood smear, ultimately led to the diagnosis of acquired immune TTP (iTTP). Early recognition enabled timely treatment and likely prevented severe complications.

Source: Cureus

DOI: 10.7759/cureus.84676

Authors: Khiet T Nguyen, Kaung H Win, Giao M Tran, Dat Nguyen, Hau Nguyen

Institutions: Interfaith Medical Center, Bệnh viện Nhân dân Gia Định, Cho Ray Hospital

Language: English

Topic: Complement system in diseases

Subfield: Immunology

Field: Immunology and Microbiology

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4410629254