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EDWARD ADELSON, M.D.; EDWARD J. HEITZMAN, M.D.; JOHN F. FENNESSEY, M.D.

AMA Arch Intern Med. 1954;94(1):42-60.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THE DISEASE thrombotic thrombocytopenic purpura refers to a condition characterized by an unusual triad: hemolytic anemia, thrombocytopenic purpura, and multiple hyaline thrombi throughout the small vessels of the body. The occurrence of thrombi in cranial blood vessels gives rise to the characteristic cerebral symptoms. Since the name thrombotic thrombocytopenic purpura, first suggested by Singer and co-workers,¹¹ fails to include any mention of the hemolytic anemia, a modification of this term to thrombohemolytic thrombocytopenic purpura is suggested.

Forty-six cases of thrombohemolytic thrombocytopenic purpura (hereafter referred to as T. T. P.) have been described in the literature up to the present time. As the disease becomes better known, the diagnosis can often be made before death and studies can be carried out on the disease mechanism. An opportunity has been afforded recently to study two cases correctly diagnosed before death. These cases and the associated studies are described below, together with . . . [Full Text PDF of this Article]

Author Affiliations
BOSTON

From the Ziskind Laboratories (Hematology Section) of the Joseph H. Pratt and New England Center Hospital; the Department of Medicine, Tufts College Medical School, and the Pathology Laboratory of the New England Medical Center.

Footnotes
Damon Runyon Clinical Research Fellow; Instructor in Medicine, Tufts College Medical School; Present address: Department of Hematology, Army Medical Service Graduate School, Walter Reed Army Medical Center, Washington, D. C. (Dr. Adelson); Junior Assistant Resident, Pathology, New England Medical Center (Dr. Heitzman); Senior Resident, Pathology, New England Medical Center (Dr. Fennessey).

Drs. William Dameshek, H. Edward MacMahon, and Mario Stefanini assisted in this study. Dr. Anthony V. Pisciotta provided Figures 3 and 4, and Dr. Zacharias Komninos carried out the search for red cell antibodies.

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