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Case Reports
. 2020 Nov 19;20(1):456.
doi: 10.1186/s12886-020-01719-z.

Retinal involvement in acute thrombotic thrombocytopenic purpura: a case report

A G N M K Bandara  1 , Anne Thushara Matthias  2
Affiliations
Case Reports

Retinal involvement in acute thrombotic thrombocytopenic purpura: a case report

A G N M K Bandara et al. BMC Ophthalmol. .

Abstract

Background: Thrombotic thrombocytopenic purpura (TTP) is a life-threatening hematological condition associated with deficiency in ADAMTS13. Ocular manifestations associated with TTP are uncommon.

Case presentation: Here we report a case where a 44 year old female patient with a history of symptomatic anemia and cotton wool appearance in retina during ophthalmological examination and subsequently, she was diagnosed to have TTP. The proper management with Therapeutic Plasma Exchange (TPE) and IV methylprednisolone improved the condition of the patient markedly.

Conclusion: It concludes that even though the presence of cotton wool appearance in retina is a nonspecific sign it needs to be properly evaluated as there can be underlying serious illnesses as in our patient. Cotton wool spots can be an early sign of underlying retinal compromise and it should be identified early.

Keywords: Case report; Cotton wool spots in retina; Therapeutic Plasma Exchange; Thrombotic Thrombocytopenic Purpura.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Cotton wool appearance in the Right Fundus
Fig. 2
Fig. 2
Normal Left Fundus
See this image and copyright information in PMC

References

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