The following case is reported in "The Patient, Not the Cure"
subtitled
"The Challenge of Homeopathy" by Dr. Margery Blackie, former physician
to Queen Elizabeth:
(page 174)
comments on a child with purpura:
"The patient had seen a specialist from one of the teaching hospitals
and
was obviously dying.  He had a poor blood condition together
with a very low platelet count and when seen he was bleeding
from everywhere - the nose, mouth, bladder, bowell and was bruised
from head to foot.  He was given Crotalus horridus (rattle
snake) and he did very well indeed.  His platelet count went
up from a very dangerous level to nearly normal within a few
days and he began to sleep well.  He was, therefore, out of
danger within a short time.  He was sent to hospital
for a blood transfusion for his consequent anaemia.  The consultant
who had seen him previously and said he was dying pointed
him out to the students as an examle of spontaneous cure which cannot
be accounted for, although he new full well he had had a
Homeopathic snake venom as a remedy."

Citizen Jimserac

On Jun 24, 7:15 pm, ironjustice <teamtan...@hotmail.com>
wrote:Thrombotic thrombocytopenic purpura <<

"TTP in association with SLE appears to be underdiagnosed"

Vol. 115, No. 1-2, 2006
Original Paper

Thrombotic Thrombocytopenic Purpura Associated with Systemic Lupus
Erythematosus
Aamer Aleem, Saleh Al-Sugair

Department of Medicine, Division of
aHematology/Oncology and
bRheumatology, College of Medicine and King Khalid University
Hospital, Riyadh, Saudi Arabia

Address of Corresponding Author

Acta Haematol 2006;115:68-73 (DOI: 10.1159/000089469)
Abstract

Thrombotic thrombocytopenic purpura (TTP) occurring in patients with
systemic lupus erythematosus (SLE) is rare and can be difficult to
diagnose because of overlapping features of the two disorders.
The aim of this study is to further characterize this uncommon
association in terms of presenting features, diagnostic difficulties
and treatment outcome.
This is the largest series from a single centre with 6 patients
diagnosed over a 6-year period.
Two thirds of the patients had a simultaneous diagnosis of TTP and
SLE.
Half of the patients had a positive Coombs test along with clear
features of TTP. Five patients received plasmapheresis as initial
treatment while 1 patient received plasma infusions only.
Four out of 5 patients responded to plasmapheresis and only 1 patient
required cytotoxic therapy.
TTP in association with SLE appears to be underdiagnosed and a
positive Coombs test is not against the diagnosis of TTP in this
setting.
Most of the patients respond well to plasmapheresis.
In case of a poor response, cytotoxic drugs should be considered
early.

Copyright © 2006 S. Karger AG, Basel

--------------------------------------------------------------------------------

 Author Contacts

Dr. A. Aleem
Department of Medicine (38), King Khalid University Hospital
PO Box 7805
Riyadh 11472 (Saudi Arabia)
Tel. +966 1 467 1771, Fax +966 1 467 9487, E-Mail
aameraleem@hotmail.com

  © 2008 S. Karger AG, Basel

Who loves ya.
Tom

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plasmapheresis <<

"Plasmapheresis alternative to haemodilution"

Here they COMPARE plasmapheresis TO hemodilution.

Hemodilution is called bloodletting by some.

Minerva Anestesiol. 1995 Jul-Aug;61(7-8):293-7.Links
[Plasmapheresis and intraoperative hemodilution. Comparison of 2
methods][Article in Italian]

Sonzogni V, Bellavita P, Aceti M, Cossolini M, Lorini L.
Secondo Servizio Anestesia e Rianimazione, Ospedali Riuniti, Bergamo.

Fifty patients undergoing cardiac surgery suffering from coronary
artery disease and valvular incompetence or stenosis, were randomly
divided into two groups of 25 patients to compare the plasmapheresis
effects on bleeding, transfusion requirements, economicity and
paramedical staff compliance versus intraoperative autotransfusion.
Standardized anesthetics, perfusion, and surgical techniques were
used. We used plasmapheresis with cell saver and haemodilution with
bypass ultrafiltration. Platelet counts, haemoglobin concentration,
haematocrit, fibrinogen, bleeding times were evaluated at fixed times
for the patients on plasmapheresis and after surgical homologous
transfusion. It was that these parameters did not change significantly
in the two groups. Intraoperative plasmapheresis is more expensive and
less accepted into an operating room than autotransfusion.
Intraoperative plasmapheresis will be a good alternative to
haemodilution for selected patients.

PMID: 8948740 [PubMed - indexed for MEDLINE]

Who loves ya.
Tom

Jesus Was A Vegetarian!
http://tinyurl.com/2r2nkh

Man Is A Herbivore!
http://tinyurl.com/4rq595

DEAD PEOPLE WALKING
http://tinyurl.com/zk9fk