Document 0533 DOCN M9550533 TI Thrombotic thrombocytopenic purpura as the cause of death in an HIV-positive child. DT 9505 AU Jorda M; Rodriguez MM; Reik RA; University of Miami/Jackson Memorial Hospital, Department of; Pathology, Florida. SO Pediatr Pathol. 1994 Nov-Dec;14(6):919-25. Unique Identifier : AIDSLINE MED/95158257 AB A case of fatal thrombotic thrombocytopenic purpura (TTP) in a pediatric patients with HIV infection is reported. The diagnosis was made at autopsy based on the presence of platelet microthrombi in multiple organs, including the cardiac conduction system. The disease presented atypically with hemorrhagic manifestations, thrombocytopenia, and hemolytic anemia, without significant accompanying neurologic and renal abnormalities. Autoimmune-based thrombocytopenia has been well documented in the presence of HIV infection in both the adult and the pediatric population. We believe this to be the first reported case of TTP in an HIV-positive child. DE Case Report Child, Preschool Fatal Outcome Human HIV Infections/*COMPLICATIONS Lymph Nodes/PATHOLOGY Male Myocardium/PATHOLOGY Purpura, Thrombotic Thrombocytopenic/COMPLICATIONS/*PATHOLOGY Thymus Gland/PATHOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).