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Thrombotic microangiopathies (TTP, HUS, HELLP).
[heparin-induced thrombocytopenia]
Thrombocytopenia
,
strictly
defined
as
a
platelet
count
less
than
150
,
000
,
is
common
in
the
emergency
department
.
Recognition
,
diagnostic
investigation
,
and
proper
disposition
of
a
thrombocytopenic
patient
are
imperative
.
One
group
of
disorders
leading
to
thrombocytopenia
is
the
thrombotic
microangiopathies
,
hallmarked
by
platelet
destruction
.
These
thrombotic
microangiopathies
include
thrombotic
thrombocytopenic
purpura
(
TTP
)
,
hemolytic
uremic
syndrome
(
HUS
)
and
hemolysis
,
elevated
liver
enzyme
levels
,
low
platelet
count
(
HELLP
)
,
which
should
be
distinguished
from
similar
disease
processes
such
as
immune
thrombocytopenia
(
ITP
)
,
disseminated
intravascular
coagulation
(
DIC
)
and
heparin
induced
thrombocytopenia
(
HIT
)
.
In
this
article
,
clinical
presentations
,
pathophysiology
,
diagnostic
workup
,
management
plans
,
complications
,
and
dispositions
are
addressed
for
this
complex
group
of
platelet
disorders
.
Diseases
Validation
Diseases presenting
"low platelet count"
symptom
benign recurrent intrahepatic cholestasis
heparin-induced thrombocytopenia
This symptom has already been validated