Case of an unusual diagnosis of primary antiphospholipid syndrome with multiple clinical complications

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Antiphospholipid syndrome (APS) is a systemic autoimmune disease defined by the presence of antiphospholipid antibodies in association with thrombotic events and/or obstetric complications. Renal involvement is not infrequent in both primary and secondary APS. Kidney manifestations comprise a wide range of clinical features, including hypertension, major renal vessel thrombosis or microvascular endothelial injury, also described as APS nephropathy. In the absence of a thrombotic event, clinical manifestations of APS are often non-specific. We recently encountered a case of primary APS in a young male with newly diagnosed hypertension and renal impairment. The diagnosis of APS was initially suspected by his kidney biopsy findings, when electron microscopy examination showed the features of chronic microangiopathy, and was later confirmed by a triple positive antiphospholipid antibody profile and multiple organ involvement.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:2020

Enthalten in:

Oxford medical case reports - 2020(2020), 12 vom: 22. Dez., Seite omaa117

Sprache:

Englisch

Beteiligte Personen:

Tsiakas, Stathis [VerfasserIn]
Skalioti, Chrysanthi [VerfasserIn]
Kotsi, Paraskevi [VerfasserIn]
Boletis, Ioannis [VerfasserIn]
Marinaki, Smaragdi [VerfasserIn]

Links:

Volltext

Themen:

Antiphospholipid syndrome
Case Reports
Electron microscopy
Hypertension
Kidney biopsy
Thrombotic microangiopathy

Anmerkungen:

Date Revised 05.01.2021

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1093/omcr/omaa117

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM319557707