Monday, September 23, 2013

Thrombotic Thrombocytopenic purpura and pregnancy

Recently have started to spend less time with blogs.Realized recently that net has many fold reach
than what I used to imagine.Few Australian doctors  were communicating with me on phone.And their 99 % discussion was related to my blog posts.I was amazed as well as amused.
But then it made me understand that whetever I write should be a responsible comment/statement and even if I am not feeling too good about something,better to avoid writing it if it is controversial.

Life is as usual.So is work.Nothing new really to share.

Let us talk about a very rare condition TTP or thrombotic Thrombocytopenic purpura.It is very rare condition which can happen in women after pregnancy.Suddenly the blood cells start getting haemolysed,platelets are cosumed which gives patchy appearance to the person,Kidney and liver shuts down and a person can be quite sick with this condition.Even immunity gets compromised.The medicines associated with it are Contraceptive pills,blood thinners ,cholesterol lowering simvastatin,quinine and few cancer medication like beomycin.mitomycin etc.

Almost 25 % TTP are caused by pregnancy and other who are prone to it are those who are immunocompromised,have H/O HIV

Having said that don't get scared of either pregnancy or  taking these drugs if indicated.IT is a very rare condition which if not treated leads to the death of the Lady.

It's simple treatment is a procedure called plasmapheresis  .

Goes without saying-------- a patient of mine had this rare condition which is as rare as 6 in 1000000 !! 

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