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A nulliparous woman presented to the hospital at 11 weeks' gestation with acute onset chest pain, non-specific ECG changes and mildly elevated cardiac enzymes despite having no cardiac risk factors. She re-presented 4 days later with chest …

Thrombotic microangiopathy (TMA) reflects a syndrome of endothelial injury characterised by microangiopathic haemolytic anaemia (nonimmune), thrombocytopenia, and often end-organ dysfunction. TMA disorders are well-recognised in kidney tran…