CASE REPORT

Recurrent thrombotic thrombocytopenic purpura in a patient with systemic lupus erythematosus

Authors

Hiroshi Maruoka¹, Takeharu Koga¹, Yuzuru Inoue¹, Seiyo Honda¹, Masaaki Takeo¹, Takaaki Fukuda¹ and Hisamichi Aizawa¹

1. Division of Respirology, Neurology, and Rheumatology, Department of Medicine, Kurume University School of Medicine, 67 Asahimachi, Kurume 830-0011, Japan

Received:

05 December 2006

Accepted:

24 May 2007

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Abstract

We encountered a 39-year-old female patient with systemic lupus erythematosus (SLE) in whom thrombotic thrombocytopenic purpura (TTP) recurred. The patient was successfully treated with corticosteroid in combination with immunosuppressive agents. Because TTP complicating SLE is more resistant to treatment than idiopathic TTP, prompt diagnosis and efficacious initial treatment are critical.

Key words

ADAMTS13 - SLE - TTP