TABLE 2

Differential diagnosis of thrombotic thrombocytopenic purpura

Hemolytic-uremic syndrome
Atypical hemolytic-uremic syndrome
Disseminated intravascular coagulation and sepsis
Idiopathic thrombocytopenic purpura
Evans syndrome
Malignant hypertension
Solid organ or bone marrow transplant
Severe vasculitis
Pregnancy (preeclampsia, eclampsia, HELLP syndrome)
Human immunodeficiency virus infection
Liver disease
Heavy alcohol intake
Disseminated malignancy
Drugs (eg, clopidogrel, ticlopidine, cyclosporine, mitomycin C, tacrolimus, quinine, gemcitabine)
Combined chemotherapy
Total body irradiation
Malfunctioning prosthetic cardiac valve
Cocaine use
  • HELLP = hemolysis, elevated liver enzymes, and low platelet count