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Numerous schistocytes in thrombotic thrombocytopenic purpura
  1. Kotaro Kunitomo1,
  2. Taichi Hirano2,
  3. Takahiro Tsuji3
  1. 1Internal Medicine, National Hospital Organisation Kumamoto Medical Center, Kumamoto, Japan
  2. 2Hematology, National Hospital Organization Kumamoto Medical Center, Kumamoto, Japan
  3. 3Internal 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

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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/μL), …

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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.

  • Patient consent for publication Not required.

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

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