Thrombotic Thrombocytopenia Purpura Without Anemia: An Unusual Presentation

Conclusion Microangiopathic hemolysis and thrombocytopenia should lead to prompt consideration of TTP regardless of initial hemoglobin level, as anemia may not be present until TTP evolves. Case Presentation A 32-year-old female with no significant past medical history except for polycystic ovary presented on a Friday afternoon with sore throat, headache, and low grade fever. The physical examination and the rest of her labs were within normal range except for thrombocytopenia with platelets of 46,000 per µL and mild macrocytosis (MCV-99