A Case of Primary Antiphospholipid Syndrome with Pulmonary Thromboembolism.
- Author:
Jae Beom LEE
1
;
Yun Su SIM
;
Young Wook NOH
;
Hye Sung PARK
;
Chung Hyun TAE
;
So Yeon LIM
;
Yoon Hee JUN
;
Yon Ju RYU
;
Eun Mi CHUN
;
Jin Hwa LEE
;
Jung Hyun CHANG
;
Jin Wook MOON
Author Information
- Publication Type:Case Report
- Keywords: Antiphospholipid syndrome; Pulmonary thromboembolism; Thrombosis
- MeSH: Antibodies, Anticardiolipin; Antiphospholipid Syndrome*; Diagnosis; Fever; Humans; Hypertension, Pulmonary; Lupus Coagulation Inhibitor; Mortality; Pregnancy; Pulmonary Embolism*; Respiratory Distress Syndrome, Adult; Sputum; Thorax; Thrombosis; Young Adult
- From:Tuberculosis and Respiratory Diseases 2007;63(1):72-77
- CountryRepublic of Korea
- Language:Korean
- Abstract: Antiphospholipid syndrome (APS) causes recurrent thromboses and morbidity during pregnancy, including fetal loss. This malady is associated with the persistent presence of anticardiolipin antibody or lupus anticoagulant. The pulmonary manifestations of antiphospholipid syndrome include pulmonary thromboembolism, pulmonary hypertension, acute respiratory distress syndrome, etc. Pulmonary thromboembolism is often the initial manifestation of antiphospholipid syndrome and a timely diagnosis is critical due to the high mortality rate. We herein report on a 19-year-old man with pulmonary thromboembolism that was caused by primary antiphospholipid syndrome. He presented with blood-tinged sputum, fever and epigastric pain, and his chest computerized tomography showed pulmonary thromboembolism. The other possible causes of pulmonary thromboembolism were excluded and the diagnosis of primary antiphospholipid syndrome was confirmed by the lupus anticoagulant that was present on two occasions six weeks apart. We also discuss the nature and management of antiphospholipid syndrome, along with a brief review of the relevant literatures.
