Postpartum thrombotic microangiopathy - A diagnostic dilemma

Abstract

During pregnancy, thrombotic microangiopathy is linked with HELLP syndrome, thrombotic thrombocytopenic purpura, and atypical hemolytic uremic syndrome (aHUS). Achieving a conclusive diagnosis is tricky but critical since management strategies and prognosis will differ. While ADAMTS13 test, biopsies and other laboratory tests can assist in diagnosis, they are time intensive and not easily accessible. We present a case in this report that exemplifies the diagnostic and treatment challenges associated with this illnesses.