Journal of Hematology, ISSN 1927-1212 print, 1927-1220 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Hematol and Elmer Press Inc
Journal website https://www.thejh.org

Case Report

Volume 13, Number 3, June 2024, pages 104-107


Fat Embolism Syndrome Mimicking Thrombotic Thrombocytopenic Purpura in a Patient With Hemoglobin S/Beta-Thalassemia

Figure

Figure 1.
Figure 1. Bone marrow biopsy with evidence of bone marrow necrosis (a, × 4 magnification; b, × 20 magnification) (arrows).

Table

Table 1. Clinical and Laboratory Features Differentiating Between TTP and FES
 
Clinical/laboratory featuresTTPFES
FES: fat embolism syndrome; TTP: thrombotic thrombocytopenic purpura.
ThrombocytopeniaCommonCommon
Acute kidney injuryCommonCommon
Altered mental statusCommonCommon
Fever > 100.4 °F or 38 °CCommonCommon
Respiratory failureLess likelyMore likely
Bone marrow necrosisLess likelyMore likely
SchistocytesMore likelyLess likely
ADAMTS-13< 10%Normal