The patient's clinical presentation deteriorated. She developed shortness of breath and fluid retention. The patient was put on a ventilator and was given a high dose of corticosteroids. Packed red blood cells were also transfused at regular intervals and platelet transfusion was withheld.
Platelets usually exacerbate the situation.
The serum LDH level returned to normal and the cryosupernatant was administered for an additional 7 days. Following this treatment the patient was discharged from the hospital. Five months later the patient experienced a recurrence and was readmitted to the hospital. She was then given daily plasma exchange with cryoprecipitate-poor plasma for 6 days and was discharged the following morning. In the two years since the second episode, the patient has not experienced a recurrence.