Article
Case of maternal and fetal deaths due to severe congenital thrombotic thrombocytopenic purpura (Upshaw-Schulman syndrome) during pregnancy.
The journal of obstetrics and gynaecology research - 1 Jan 2014
Tanaka Hirokazu, Tenkumo Chiaki, Mori Nobuhiro, Kokame Koichi, Fujimura Yoshihiro, Hata Toshiyuki
Abstract excerpt
Upshaw-Schulman syndrome (USS) involves a congenital deficiency of von Willebrand factor-cleaving metalloprotease (ADAMTS13) activity due to gene mutations. Female patients develop overt thrombotic thrombocytopenic purpura (TTP) caused by a decline of ADAMTS13 activity in pregnancy. A 23-year-old nulliparous Japanese woman died due to severe, rapid progression of TTP with intrauterine fetal death at 20 weeks of...
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