TY - BOOK AU - Graham, Autumn AU - Kappler, Shane TI - Thrombotic microangiopathies (TTP, HUS, HELLP). [Review] SN - 0733-8627 KW - *Thrombotic Microangiopathies/di [Diagnosis] KW - Adult KW - Child KW - Female KW - HELLP Syndrome/di [Diagnosis] KW - HELLP Syndrome/th [Therapy] KW - Hemolytic-Uremic Syndrome/di [Diagnosis] KW - Hemolytic-Uremic Syndrome/th [Therapy] KW - Humans KW - Immunosuppressive Agents/tu [Therapeutic Use] KW - Pregnancy KW - Purpura, Thrombotic Thrombocytopenic/di [Diagnosis] KW - Purpura, Thrombotic Thrombocytopenic/th [Therapy] KW - Thrombocytopenia/et [Etiology] KW - Thrombotic Microangiopathies/et [Etiology] KW - Thrombotic Microangiopathies/th [Therapy] KW - MedStar Washington Hospital Center KW - Emergency Medicine KW - Journal Article KW - Review N1 - Available online from MWHC library: 1996 - present N2 - 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. Copyright 2014 Elsevier Inc. All rights reserved UR - http://dx.doi.org/10.1016/j.emc.2014.04.008 ER -