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자간전증 산모에서 분만후에 발병한 혈전성 혈소판감소성 자반증
박준선 ( Jun Seon Park ),기원석 ( Won Seok Kee ),강민창 ( Min Chang Kang ),김수아 ( Soo Ah Kim ),송창훈 ( Chang Hoon Song ),최상준 ( Sang Joon Choi ) 대한주산의학회 2005 Perinatology Vol.16 No.4
TTP is a thrombotic microangiopathy not unique to pregnancy and with the increasing incidence in reproductive aged women. The estimated incidence is around one case per million people, sixty percent of the cases occur in women, the median age of onset is 35 years. Pregnancy is a predisposing factor of TTP and may be an inciting state for relapse. TTP usually develops during the antepartum, the mean gestational age of onset of the symptoms is 23.5 weeks, and 58% of patients initially present at or before 24 weeks of gestation. This report was a case of 36 years old mother who was performed cesarean-section at 31 weeks gestational age because of severe preeclampsia. Febrile sensation, convulsion, comatous mentation abruptly developed after cesarean section and we diagnosed TTP. The patient recovered after she was treated with plasmapheresis for 7 days. We recently experienced a unique case of TTP, which was diagnosed after cesarean delivery, because it overlapped with symptoms and thus report this case.