Thrombotic Thrombocytopenic Purpura Revisited: Upshaw Schulman Syndrome in a 20-Year-Old Male

The Medicine Forum

Peiris, MD, Niluk¹  Wang, MD, Judy¹ 

[1] Thomas Jefferson UniversityThomas Jefferson UniversityThomas Jefferson University

关键词: Thrombotic Thrombocytopenic Purpura Revisited: Upshaw Schulman Syndrome in a 20-Year-Old Male;    The Medicine Forum;    Thomas Jefferson University Hospital;    journal;    Philadelphia;    United States;    residents;   

DOI  :  

学科分类：医学（综合）

来源: Thomas Jefferson University

【 摘 要 】

Case Report A 20-year-old male with no significant past medical history presented to an outside hospital with a two-week history of progressive fatigue, malaise and decreased appetite. Prior to these events, he had been in his usual state of health with normal exercise tolerance and energy level. Upon development of his symptoms, the patient felt as though he had developed an upper respiratory infection (URI). The URI symptoms eventually resolved; however complaints of fatigue and malaise still remained. He then developed progressive dyspnea on exertion and tea-colored urine. The patient reported a singular febrile episode to 38.9?C associated with nonbilious vomiting two days prior to admission. Upon further questioning, he admitted to a twenty-pound weight loss over the last month. The patient’s mother also noticed unprovoked bruising on his forearms bilaterally. He denied night sweats, gingival bleeding, epistaxis, hematuria, or melena.

【 授权许可】

Unknown