The classic
pentad of clinical features occurred in only 5 percent of cases of George's study group but in our population, it was seen in 36.4 percent of cases.
The rainfall area that affected each streamflow site was chosen based on the criterion that the
pentad rainfall anomaly had a significant correlation with the runoff anomaly of that site during the wet season.
Let (g, [pi], U, U, B) be an arbitrary standard
pentad. Then there exists a (finite or infinite dimensional) graded Lie algebra L(g, [pi], U, U, B) = [[direct sum].sub.n[member of]Z] [U.sub.n] such that
This is a case of an elderly patient with MDS clinically presenting with the "classic TTP
pentad." To the best of the authors' knowledge this is the first case reported of MDS presenting as full-blown TTP in an elderly person.
Twenty-two patients (91.6%) had the triad of hemolytic anemia, thrombocytopenia and neurologic abnormalities and only 2 (8.3%) had the classical
pentad of TTP (Table-I).
TTP can present without the full
pentad of the classic clinical presentation.
The other side of the chaitya includes the first Khmer rendering of the five cosmic Buddhas of the Vajradhatu
pentad, defined in the STTS, and no scene from Shakyamuni's biography.
In summary, our cases of CABG-induced TTP and those reported in the literature are characterized by A) a florid presentation with most or all of the components of the classic TTP
pentad; B) a frequent delay in the diagnosis; C) a good response to plasmapheresis and dialysis/CRRT in most cases; and D) a tendency not to relapse in those who have survived and obtained complete remission.
Additionally, patients with SLE could present as thrombotic thrombocytopenia purpura (TTP) rarely which was characterized by the clinical
pentad of microangiopathic hemolytic anemia (MAHA), thrombocytopenia, renal dysfunction, fever, and neurologic abnormalities.
The clinical diagnosis of TTP previously required the identification of a classic
pentad of clinical features initially described by Amorosi and Ultmann (11) in 1966, which included hemolytic anemia, thrombocytopenia, neurologic abnormalities, renal dysfunction, and fever.
The
pentad is concerned with the way certain structures of thought establish motives for action.