Frontiers in Medicine (Mar 2022)

Case Report: A Rare Case of Thrombotic Microangiopathy Induced by Remethylation Disorders

  • Lu Pang,
  • Jian Chen,
  • Haiyan Yu,
  • Haiming Huang,
  • Bo Jin,
  • Xin Wang,
  • Haixia Li

DOI
https://doi.org/10.3389/fmed.2022.837253
Journal volume & issue
Vol. 9

Abstract

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In this research, we described a very rare case of thrombotic microangiopathy induced by remethylation disorders. A 16-year-old boy presented to the emergency department with 5 months of weakness and fatigue. He was diagnosed with thrombotic microangiopathy based on clinical manifestation and laboratory information, which showed microangiopathic hemolytic anemia, renal impairment, and thrombocytopenia. After a complex diagnostic workup, the metabolite screening parameters and sequencing results guided us toward the diagnosis of remethylation disorders. The patient was diagnosed with thrombotic microangiopathy induced by remethylation disorders (cblC).

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