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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 339:1766-1772 December 10, 1998 Number 24
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Case 37-1998— A 41-Year-Old Woman with Anemia and Severe Thrombocytopenia
William C. Aird, and William M. Kettyle

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Presentation of Case

A 41-year-old woman was admitted to the hospital because of thrombocytopenia and anemia.

The patient had been well until a few weeks earlier, when her menses, which had been profuse in recent years, became even heavier. Five days before admission, she again began to menstruate profusely and had orthostatic weakness. Two days later, she entered another hospital, where hematologic studies were performed (Table 1). Blood chemical values were normal. Three units of packed red cells were transfused. On the second hospital day, laboratory studies were repeated (Table 1). Since platelets were needed but unavailable for transfusion, . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. William C. Aird's Diagnoses

Pathological Discussion

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