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Thrombotic thrombocytopenic purpura (\n                    <jats:styled-content style=\"fixed-case\">TTP<\/jats:styled-content>\n                    ) and atypical haemolytic uraemic syndrome (\n                    <jats:styled-content style=\"fixed-case\">aHUS<\/jats:styled-content>\n                    ) are medical\/obstetric emergencies that require specialist input, both at the time of acute diagnosis and follow\u2010up in subsequent pregnancies. Features of preeclampsia and\n                    <jats:styled-content style=\"fixed-case\">HELLP<\/jats:styled-content>\n                    syndrome (haemolysis, elevated liver enzymes, low platelets) may precede or be present in evolving\n                    <jats:styled-content style=\"fixed-case\">TTP<\/jats:styled-content>\n                    or\n                    <jats:styled-content style=\"fixed-case\">aHUS<\/jats:styled-content>\n                    . Clinicians need to be mindful of how a presumed diagnosis of a specific\n                    <jats:styled-content style=\"fixed-case\">TMA<\/jats:styled-content>\n                    in pregnancy may evolve and be prepared to frequently reassess signs and symptoms and revise the diagnosis and management plan accordingly.\n                  <\/jats:p>","DOI":"10.1111\/bjh.14045","type":"journal-article","created":{"date-parts":[[2016,3,28]],"date-time":"2016-03-28T00:48:40Z","timestamp":1459126120000},"page":"821-830","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":46,"title":["How we manage thrombotic microangiopathies in pregnancy"],"prefix":"10.1111","volume":"173","author":[{"given":"Mari R.","family":"Thomas","sequence":"first","affiliation":[{"name":"Department of Haematology UCLH Cardiometabolic programme\u2010 NIHR UCLH\/UCL BRC London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Robinson","sequence":"additional","affiliation":[{"name":"Department of Haematology GSTT London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie A.","family":"Scully","sequence":"additional","affiliation":[{"name":"Department of Haematology UCLH Cardiometabolic programme\u2010 NIHR UCLH\/UCL BRC London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,27]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.f6564"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2013.07.003"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2004.06.008"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(92)91735-S"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2005-10-007252"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70567-3"},{"key":"e_1_2_14_8_1","first-page":"1","article-title":"Centre for Maternal and Child Enquiries (CMACE). 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