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DR. ROCK:
      Now, one of the first things I would say to you is that in the adult setting it is extremely difficult to separate out in a specific fashion the disorders of Thrombotic Thrombocytopenic Purpura and Hemolytic Uremic Syndrome.      DR. ROCK:
      Now, TTP is what we call a micro angiopathy and was first described in 1924, by Moschowitz, who had a 16-year-old patient who went into coma and then died from the deposition wide-spread in the body of platelet microthrombi.
      And while the disease has been around for a very long period of time, it really wasn't until 1998, when two different groups those led by Dr. Tsai, in New York, and Furlan in Switzerland demonstrated the presence in the patient's plasmids of an antibody directed against an enzyme and associated it with the pathophysiology of the disease.




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