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Numerous schistocytes in thrombotic thrombocytopenic purpura
  1. Kotaro Kunitomo1,
  2. Taichi Hirano2,
  3. Takahiro Tsuji3
  1. 1 Internal Medicine, National Hospital Organisation Kumamoto Medical Center, Kumamoto, Japan
  2. 2 Hematology, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan
  3. 3 Internal Medicine, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan
  1. Correspondence to Dr Kotaro Kunitomo, National Hospital Organisation Kumamoto Medical Center, Kumamoto 860-0008, Japan; m05035kk{at}yahoo.co.jp

http://dx.doi.org/10.1136/postgradmedj-2020-139308

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    An 83-year-old man was transported by ambulance to the emergency room because he had a clouding of consciousness. On arrival, his Glasgow Coma Scale score was 13 (E4V4M5). His temperature was 37.3°C, blood pressure 139/77 mm Hg and pulse 101 beats per minute. Physical examination revealed jaundice and purpura throughout the body. Laboratory evaluation revealed a haemoglobin level of 5.7 g/dL, thrombocytopenia (platelet count: 0.6×104 …

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    Footnotes

    • Contributors KK and TH identified the significance of the study and wrote the manuscript. TT revised the manuscript. All authors approved the final version of the manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.