The 460th case:lower extremity edema, positive fecal occult blood
10.3760/cma.j.issn.0578-1426.2017.12.018
- VernacularTitle:临床病例讨论第460例——下肢肿痛,粪潜血阳性
- Author:
Yiduo SUN
1
;
Jiuliang ZHAO
;
Pu ZHANG
;
Qian WANG
;
Mengtao LI
Author Information
1. 100730,中国医学科学院北京协和医学院北京协和医院风湿免疫科
- Keywords:
Antiphospholipid syndrome;
Antibodies;
antiphospholipid;
Neoplasms
- From:
Chinese Journal of Internal Medicine
2017;56(12):974-976
- CountryChina
- Language:Chinese
-
Abstract:
An 61-year-old woman presenting deep vein thrombosis and persistent positive anticardiolipin antibodies was diagnosed as antiphospholipid syndrome and treated with low molecular weight heparin. Before and after anticoagulant therapy, continuous positive fecal occult-blood was found asymptomatically. Colonoscopy confirmed rectal cancer. Antiphospholipid autoantibodies are non-specially positive in some malignances, especially in elder onset patients. Thus, routine screening of malignancies is strongly suggested.