Case Presentation: Acquired thrombotic thrombocytopenic purpura (TTP) is a rare antibody-mediated thrombotic microangiopathy that requires prompt identification and treatment. We present the case of a 32-year-old female with a history of systemic lupus erythematosus, asthma, augmentation mastopexy (11 years prior), and an antecedent episode of TTP following silicone breast implant placement who presented with back [...]