Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

178 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Good morning sir, My father 55/male is affected by TTP

Good morning sir, My father 55/male is affected by TTP with left ACA Stroke and systemic hypertension, he is under physiotherapy, speech therapy for aphasia and improving from stroke but in three months he had 4 acute reactivation of TTP , first two episodes he was treated by PEX and third episode PEX and retuximab, which delayed the fourth episode upto one month. This time he was treated with PEX alone. He is under metaprolol 12.5mg , bethanecol 25, piracetam 800, Prednisone 15 mg od, and a alpha blocker for past 3 months I'm maxillofacial surgeon I want to ask hematologist about increasing the steroids as my father responded well for steroids in the beginning just after the attack of stroke his platelets rose from 3K to 12 K. (thrombolysis was not done). I want to add that his entire antibody study was negative and Adams TS 13 level was 51 after one cycle of PEX he will develop echymosis, high LDH and schistocyste during reactivation episode. We have down around 14 PEX in 3 months of duration, Please help us to find a way to avoid further reactivation of TTP
Tue, 22 May 2018
Report Abuse
For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in

doctor1 MD

sir my father is a heart patient his arteries are blocked i have no amount to treat my father so please help? sir i need u please call me there to treat my father

doctor1 MD

Sir , Is revital good for health? i m a 19 year ol male and i m not able to have a nutritious diet and thought of using revital,Is that good for health? and also i heard that.it s gonna effect sperm count,is that true..? and is there any natural way to reduce the melanin content of the body and increase skin fairness to a large extent?

doctor1 MD

Father got the epilepsy attack, now he take medicine of epsoline good evening sir, my father aged is 55yrs, last 30 yrs he got the epilepsy attack, now he take medicine of epsoline, it is the good medicine for my father give me answer

Loading Online Doctors....