A case of primary antiphospholipid antibody syndrome showing vegetation on the mitral valve through echocardiography

Autor: Hyen Jik Kim, Jung Sang Hah, Yun Seok Jung, Wook Nyeun Kim, Sung Hwan Yun, Seung Kwon Park, Seung Yeop Lee, Sung Hwan Lim
Rok vydání: 1998
Předmět:
Zdroj: Yeungnam University Journal of Medicine. 15:350
ISSN: 2234-8042
1225-7737
DOI: 10.12701/yujm.1998.15.2.350
Popis: Antiphospholipid antibody syndrome(APS) is a well-known clinical syndrome characterized by recurrent arterial or venous thromboses, recurrent fetal loss, thrombocytopenia, together with high titers of sustained anticardiolipin antibody(aCL) or lupus anticoagulant(LA). Although systemic lupus erythematosus(SLB) and APS may coexist, a high proportion of patients manifesting the APS do not suffer from classical lupus or other connective tissue disease. The patient has been defined as having a primary antiphospholipid antibody syndrome. We experienced one case of primary APS with recurrent fetal loss, recurrent cerebral infarctions, positive anticardiolipin antibody IgG and fluttering vegetation on the mitral valve, without other connective tissue diseases including SLE. Forty-three old female had 2 out of 11 criteria for the diagnosis of SLE, such as thrombocytopenia and positive antinuclear antibody, but did not meet whole criteria. The patient was treated with ticlopidine, and anticoagulant therapy was recommended.
Databáze: OpenAIRE