Unusual presentation of acquired thrombotic thrombocytopenic purpura (TTP) versus catastrophic antiphospholipid syndrome in a patient with Moya‐Moya disease, case report, and literature review

Key Clinical Message Coincidences in medicine are not so common. We are presenting a case of a patient diagnosed with Moya‐Moya disease and antiphospholipid syndrome (APS) who presented with clinical and laboratory characteristics of catastrophic APS versus TTP. The diagnosis was a challenge because...

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Main Authors: Nehemias Guevara‐Rodriguez, Gabriela Marmanillo‐Mendoza, Jorge Castelar, Camelia Ciobanu, Ilmana Fulger
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7317
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author Nehemias Guevara‐Rodriguez
Gabriela Marmanillo‐Mendoza
Jorge Castelar
Camelia Ciobanu
Ilmana Fulger
author_facet Nehemias Guevara‐Rodriguez
Gabriela Marmanillo‐Mendoza
Jorge Castelar
Camelia Ciobanu
Ilmana Fulger
author_sort Nehemias Guevara‐Rodriguez
collection DOAJ
description Key Clinical Message Coincidences in medicine are not so common. We are presenting a case of a patient diagnosed with Moya‐Moya disease and antiphospholipid syndrome (APS) who presented with clinical and laboratory characteristics of catastrophic APS versus TTP. The diagnosis was a challenge because characteristics were overlapping. Nevertheless, a decision to treat the patient for TTP was made with afterward improvement. MMD has been associated with multiple immune disorders; however, only one case of acquired thrombotic thrombocytopenic purpura has been documented in association with this disease. None has been associated with catastrophic antiphospholipid syndrome. We are presenting a challenging case where all these three medical conditions were present at the same time.
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spelling doaj.art-53891683949b4e12b4cbea38d54e18382023-05-25T05:58:40ZengWileyClinical Case Reports2050-09042023-05-01115n/an/a10.1002/ccr3.7317Unusual presentation of acquired thrombotic thrombocytopenic purpura (TTP) versus catastrophic antiphospholipid syndrome in a patient with Moya‐Moya disease, case report, and literature reviewNehemias Guevara‐Rodriguez0Gabriela Marmanillo‐Mendoza1Jorge Castelar2Camelia Ciobanu3Ilmana Fulger4Department of Medicine, Internal Medicine St. Barnabas Hospital Health System The Bronx New York USADepartment of Medicine, Internal Medicine St. Barnabas Hospital Health System The Bronx New York USADepartment of Medicine, Internal Medicine St. Barnabas Hospital Health System The Bronx New York USADepartment of Medicine, Internal Medicine St. Barnabas Hospital Health System The Bronx New York USADepartment of Medicine, Internal Medicine, Department of Hemato‐Oncology St. Barnabas Hospital Health System The Bronx New York USAKey Clinical Message Coincidences in medicine are not so common. We are presenting a case of a patient diagnosed with Moya‐Moya disease and antiphospholipid syndrome (APS) who presented with clinical and laboratory characteristics of catastrophic APS versus TTP. The diagnosis was a challenge because characteristics were overlapping. Nevertheless, a decision to treat the patient for TTP was made with afterward improvement. MMD has been associated with multiple immune disorders; however, only one case of acquired thrombotic thrombocytopenic purpura has been documented in association with this disease. None has been associated with catastrophic antiphospholipid syndrome. We are presenting a challenging case where all these three medical conditions were present at the same time.https://doi.org/10.1002/ccr3.7317antiphospholipid syndrome (APS)Moya‐Moya diseaseMoya‐Moya syndromethrombotic thrombocytopenic purpura (TTP)treatment
spellingShingle Nehemias Guevara‐Rodriguez
Gabriela Marmanillo‐Mendoza
Jorge Castelar
Camelia Ciobanu
Ilmana Fulger
Unusual presentation of acquired thrombotic thrombocytopenic purpura (TTP) versus catastrophic antiphospholipid syndrome in a patient with Moya‐Moya disease, case report, and literature review
Clinical Case Reports
antiphospholipid syndrome (APS)
Moya‐Moya disease
Moya‐Moya syndrome
thrombotic thrombocytopenic purpura (TTP)
treatment
title Unusual presentation of acquired thrombotic thrombocytopenic purpura (TTP) versus catastrophic antiphospholipid syndrome in a patient with Moya‐Moya disease, case report, and literature review
title_full Unusual presentation of acquired thrombotic thrombocytopenic purpura (TTP) versus catastrophic antiphospholipid syndrome in a patient with Moya‐Moya disease, case report, and literature review
title_fullStr Unusual presentation of acquired thrombotic thrombocytopenic purpura (TTP) versus catastrophic antiphospholipid syndrome in a patient with Moya‐Moya disease, case report, and literature review
title_full_unstemmed Unusual presentation of acquired thrombotic thrombocytopenic purpura (TTP) versus catastrophic antiphospholipid syndrome in a patient with Moya‐Moya disease, case report, and literature review
title_short Unusual presentation of acquired thrombotic thrombocytopenic purpura (TTP) versus catastrophic antiphospholipid syndrome in a patient with Moya‐Moya disease, case report, and literature review
title_sort unusual presentation of acquired thrombotic thrombocytopenic purpura ttp versus catastrophic antiphospholipid syndrome in a patient with moya moya disease case report and literature review
topic antiphospholipid syndrome (APS)
Moya‐Moya disease
Moya‐Moya syndrome
thrombotic thrombocytopenic purpura (TTP)
treatment
url https://doi.org/10.1002/ccr3.7317
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