Arthritis, Dyspnea and Hemoptysis on Exertion

VernacularTitle:关节肿痛,活动后气短、咯血
Author: Zi1 WANG ¹ ; Bing-Bin2 ZHAO ; Jiu-Liang3 ZHAO ; Hua3 CHEN ; Guo-Tao4 MA ; Jian-Zhou4 LIU ; Wen-Qian5 CHEN ; Chi6 SHAO ; Jin-Zhi7 LAI ; Wei8 CHENG ; Qi4 MIAO ; Xiao-Feng3 ZENG ; Feng-Chun3 ZHANG ; Jin-Jing3 LIU
Author Information

1. 中国医学科学院　北京协和医学院　北京协和医院血液内科北京100730
Keywords: systemic lupus erythematosus; antiphospholipid syndrome; intracardiac thrombus; pulmonary embolism
From: Medical Journal of Peking Union Medical College Hospital 2020;11(3):347-353
CountryChina
Language:Chinese
Abstract: Intracardiac thrombus is a rare complication of Antiphospholipid syndrome secondary to systemic lupus erythematosus (SLE). Its treatment is extremely tough and requires a multidisciplinary approach. We reported a case of SLE with intracardiac thrombus and pulmonary embolism. The patient was complicated with hemoptysis and kidney injury，and had a high risk of sudden death from incidental thrombus shedding off. In the state of thrombosis and hemorrhage，the management of anticoagulation and the evaluation and treatment of the primary disease complicated with infection are challenging. The multidisciplinary collaboration helped us to create a more favorable surgical condition while controlling SLE aggressively. After surgical treatment at the proper time，the outcome of the patient was satisfying.