NONRECURRENT PREGNANCY-ASSOCIATED THROMBOTIC MICROANGIOPATHY

Thrombotic microangiopathy which includes thrombotic thrombocytic purp ura and hemolytic uremic syndrome can occur during pregnancy or post p artum. No general advices could be given regarding the outcome of a se cond pregnancy after this complication as there is only one case repor t published up to now. We describe here a young patient with pregnancy -associated thrombotic microangiopathy who showed no recurrence of the symptoms during another pregnancy. Despite impaired renal function lo w blood pressure and low protein intake before and during the second p regnancy as well as moderate weight gain and administration of aspirin and magnesium may all have contributed to the good maternal and perin atal outcome.