CASE REPORT
Catastrophic antiphospholipid syndrome in a patient with systemic lupus erythematosus
Online publication date: 2013-03-05
Reumatologia 2013;51(1):73-76
KEYWORDS
ABSTRACT
The aim of the study was to describe two case reports of probable catastrophic antiphospholipid syndrome (CAPS) in systemic lupus erythematosus (SLE) patients, following gastrointestinal infections.
Case 1: a 53-year-old man was diagnosed with probable CAPS based on multiorgan thrombosis (pulmonary emboli, myocardial infarction, acute renal failure) and high levels of antiphospholipid antibody markers. Moreover, the patient fulfilled the SLE criteria. The symptoms developed after gastrointestinal infection. Case 2: a 48-year-old woman with long-term history of SLE and antiphospholipid syndrome, whose conditions worsened after gastrointestinal infection, was diagnosed with CAPS based on pulmonary microemboli, thrombosis of the portal vein, lower limb thrombophlebitis, and acute renal failure. Both the cases were treated with heparin, steroids in pulses, cyclophosphamide, and intravenous immunoglobulins, which resulted in subsidence of symptoms.
Case 1: a 53-year-old man was diagnosed with probable CAPS based on multiorgan thrombosis (pulmonary emboli, myocardial infarction, acute renal failure) and high levels of antiphospholipid antibody markers. Moreover, the patient fulfilled the SLE criteria. The symptoms developed after gastrointestinal infection. Case 2: a 48-year-old woman with long-term history of SLE and antiphospholipid syndrome, whose conditions worsened after gastrointestinal infection, was diagnosed with CAPS based on pulmonary microemboli, thrombosis of the portal vein, lower limb thrombophlebitis, and acute renal failure. Both the cases were treated with heparin, steroids in pulses, cyclophosphamide, and intravenous immunoglobulins, which resulted in subsidence of symptoms.
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Copyright: © Narodowy Instytut Geriatrii, Reumatologii i Rehabilitacji w Warszawie. This is an Open Access journal, all articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License (https://creativecommons.org/licenses/by-nc-sa/4.0/), allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
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