Hypoprothrombinemia-lupus anticoagulant syndrome secondary to Sjogren's syndrome:A case report
10.11817/j.issn.1672-7347.2023.230186
- VernacularTitle:干燥综合征继发低凝血酶原血症-狼疮抗凝物综合征1例
- Author:
Wei CAI
1
;
Jingzhi SHEN
;
Liangliang MA
Author Information
1. 大连医科大学附属第一医院血液科,辽宁 大连 116011
- Keywords:
Sjogren's syndrome;
hypoprothrombinemia;
lupus anticoagulant syndrome
- From:
Journal of Central South University(Medical Sciences)
2023;48(11):1775-1778
- CountryChina
- Language:Chinese
-
Abstract:
Hypoprothrombinemia-lupus anticoagulant syndrome(HLAS)is a rare disease in which patients present with varying degrees of bleeding and positive lupus anticoagulant with reduced prothrombin on laboratory tests.This article reports a case of HLAS in a middle-aged woman with recurrent gingival bleeding and epistaxis as the first presentation.After admission,tests revealed prolonged prothrombin time(PT),activated partial thromboplastin time(APTT),and reduced coagulation factor Ⅱ activity,and positive lupus anticoagulant(LA).Meanwhile,the patient had symptoms of dry mouth and dry eyes for a long time,and the examination of autoantibodies,tear secretion test and salivary gland emission computed tomography(ECT)were consistent with the diagnosis of Sjogren's syndrome.The final diagnosis was HLAS secondary to Sjogren's syndrome.After treatment with methylprednisolone and cyclophosphamide,the coagulation disorder gradually improved,and no recurrent bleeding occurred.HLAS is a rare clinical case,which reminds medical staff to be alert to the possibility of HLAS when encountering patients with unexplained prolonged APTT and PT and positive lupus anticoagulant.
