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Case Records of the Massachusetts General Hospital

Case 36-2013 — A 38-Year-Old Woman with Anemia and Thrombocytopenia

List of authors.
  • Douglas E. Wright, M.D., Ph.D.,
  • Rachel P. Rosovsky, M.D., M.P.H.,
  • and Mia Y. Platt, M.D., Ph.D.

A 38-year-old woman was admitted to this hospital because of fatigue, malaise, and lightheadedness, with dyspnea on exertion, bruising, dark urine, and headache. Laboratory tests revealed anemia and thrombocytopenia. Diagnostic tests were performed.

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Funding and Disclosures

This case was presented at the Medical Case Conference.

Disclosure forms provided by the authors are available with the full text of this article at NEJM.org.

No potential conflict of interest relevant to this article was reported.

We thank Drs. David Dudzinski, Lloyd Axelrod, Mandakolathur Murali, Hasan Bazari, and Yi-Bin Chen for helping to organize the conference.

Author Affiliations

From the Departments of Medicine (D.E.W., R.P.R.) and Pathology (M.Y.P.), Massachusetts General Hospital, and the Departments of Medicine (D.E.W., R.P.R.) and Pathology (M.Y.P.), Harvard Medical School — both in Boston.

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