Thrombotic thrombocytopenic purpura without schistocytes on the peripheral blood smear.

@article{Daram2005ThromboticTP,
  title={Thrombotic thrombocytopenic purpura without schistocytes on the peripheral blood smear.},
  author={Sumanth R. Daram and Marie D. Philipneri and Nidhi Puri and Bahar Bastani},
  journal={Southern medical journal},
  year={2005},
  volume={98 3},
  pages={392-5}
}
A hallmark of the clinical syndrome of thrombotic thrombocytopenic purpura (TTP) is evidence of microangiopathic hemolytic anemia. The presence of schistocytes on the peripheral blood smear, elevated plasma lactic dehydrogenase, and decreased haptoglobin concentration are used as evidence of microangiopathic hemolytic anemia to make a diagnosis of TTP. This report describes a case of recurrence of TTP in the absence of schistocytes in the peripheral blood smear during the recurrent episode… CONTINUE READING