Autoimmune Derangement in a Patient with Simultaneous Diagnoses of Primary Anti phospholipid Syndrome, Thrombotic Thrombocytopenic Purpura and Heparin Induced Thrombocytopenia

Komal Khiani¹, Yair Keilson², Philip Rubin², William Solomon², Yevgenia Margulis³, Yiwu Huang² and Yiqing Xu^2*

¹Department of Internal Medicine, Maimonides Medical Center, New York, USA

²Division of Hematology and Oncology, Department of Internal Medicine, Maimonides Medical Center, New York, USA

³Division of Rheumatology, Department of Internal Medicine, Maimonides Medical Center, New York, USA