Catastrophic antiphospholipid syndrome. Case report and

Gac Med Mex · Jan 2017

Review Case Reports

Catastrophic antiphospholipid syndrome. Case report and literature review

The present document is the report of a case of a very rare clinical entity, which presents with acute multiorganic failure after a thrombotic storm related to antiphospholipid antibodies, the so-called catastrophic antiphospholipid syndrome, which began as a recurrent picture of mesenteric thrombosis, with a previous history of venous insufficiency and distal ulcers probably associated with an unidentified antiphospholipid; deserving management in intensive care and the consultation by the world expert, Dr. Ricard Cervera who confirmed the diagnosis and recommend treating as such entity, the patient's evolution was satisfactory so far. Final recommendations for diagnosis and current treatment options such as rituximab or eculizumab are made. The present case was added to the international registry that currently houses around 500 cases worldwide (International CAPS Registry).

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- Luis del Carpio-Orantes, Chantall Citlally Martínez-Anaya, and Elías Bonilla-Casas.
- Unidad de Cuidados Intensivos; Hospital General de Zona No. 71, Delegación Veracruz Norte, Instituto Mexicano del Seguro Social, Veracruz, Ver., México.
- Gac Med Mex. 2017 Jan 1; 153 (4): 531-536.
AbstractThe present document is the report of a case of a very rare clinical entity, which presents with acute multiorganic failure after a thrombotic storm related to antiphospholipid antibodies, the so-called catastrophic antiphospholipid syndrome, which began as a recurrent picture of mesenteric thrombosis, with a previous history of venous insufficiency and distal ulcers probably associated with an unidentified antiphospholipid; deserving management in intensive care and the consultation by the world expert, Dr. Ricard Cervera who confirmed the diagnosis and recommend treating as such entity, the patient's evolution was satisfactory so far. Final recommendations for diagnosis and current treatment options such as rituximab or eculizumab are made. The present case was added to the international registry that currently houses around 500 cases worldwide (International CAPS Registry).Copyright: © 2017 SecretarÍa de Salud

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Catastrophic antiphospholipid syndrome. Case report and literature review

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