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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:661-667 September 8, 1994 Number 10
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Case 33-1994— A 41-Year-Old Woman with Thrombocytopenia, Anemia, and Sudden Death
Kim A. Eagle, and John T. Fallon

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Presentation of Case

A 41-year-old woman was transferred to this hospital because of thrombocytopenia, anemia, and changed mental status.

There was a history of treated hypothyroidism, well-controlled hypertension, and mild anemia of several years' duration accompanied by slight leukopenia. Hematologic studies were performed seven months before admission (Table 1). A test for antinuclear antibodies, performed 11 months before admission, was negative. The patient was otherwise well until five days before admission, when she was admitted to another hospital because of one week of substernal pain that radiated to the left hand, tingling in the right leg, intermittent headaches, and light spots . . . [Full Text of this Article]

Differential Diagnosis

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Dr. Kim A. Eagle's Diagnosis

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