Recurrent stroke in an African female with idiopathic thrombotic thrombocytopenic purpura: A case report

Kwabena Oteng Agyapong; Aba Folson; Roland Wonkyi; Kelvin Amenyedor; Jeffrey J Boateng; Kate Fiador

doi:10.1002/ccr3.6860

Recurrent stroke in an African female with idiopathic thrombotic thrombocytopenic purpura: A case report

Clin Case Rep. 2023 Jan 16;11(1):e6860. doi: 10.1002/ccr3.6860. eCollection 2023 Jan.

Authors

Kwabena Oteng Agyapong¹, Aba Folson², Roland Wonkyi¹, Kelvin Amenyedor¹, Jeffrey J Boateng³, Kate Fiador⁴

Affiliations

¹ Department of Internal Medicine Greater Accra Regional Hospital Ridge - Accra Ghana.
² School of Medicine University of Health and Allied Sciences Ho Ghana.
³ Eastern Regional Hospital Koforidua Ghana.
⁴ Department of Haematology Greater Accra Regional Hospital Ridge - Accra Ghana.

Abstract

We report on a young Ghanaian female who was diagnosed with thrombotic thrombocytopenic purpura (TTP) but had an ischemic stroke as the initial presentation. She was successfully treated with therapeutic plasma exchange. This case illustrates how TTP can masquerade as ischemic stroke and the application of PLASMIC score without ADAMTS-13 assay in risk prediction.

Keywords: ADAMTS 13; MAHA; platelet; thrombotic thrombocytopenic purpura.

Publication types

Case Reports