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Adult-onset Still's disease with concurrent thrombotic thrombocytopenic purpura: case report and literature review. | LitMetric

Adult-onset Still's disease with concurrent thrombotic thrombocytopenic purpura: case report and literature review.

BMJ Case Rep

Division of Respiratory Medicine and Rheumatology, Department of Multidisclplinary Internal Medicine, Faculty of Medicine, Tottori University Hospital, Yonago, Tottori, Japan

Published: September 2020

Thrombotic thrombocytopenic purpura (TTP) is rare complication resulting from adult-onset Still's disease (AOSD). We report the case of a 69-year-old Japanese man who initially presented with fever and joint pain and was diagnosed as having concurrent AOSD with TTP 1 month later. He had extremely high ferritin levels (32 696 ng/mL). He initially responded to plasma exchange but subsequently died of septic shock. AOSD accompanied by extremely high ferritin levels might be considered a sign of concurrent TTP.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7523203PMC
http://dx.doi.org/10.1136/bcr-2020-235786DOI Listing

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