2014, Number 4
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Rev Hematol Mex 2014; 15 (4)
Large lower extremity necrosis due to catastrophic antiphospolipid syndrome
Ruiz-Domínguez R, Cuentas-Yáñez G, Da Re-Gutiérrez S
Language: Spanish
References: 21
Page: 196-201
PDF size: 502.27 Kb.
ABSTRACT
The term catastrophic antiphospholipid syndrome (CAPS) defines an
accelerated form of antiphospholipid syndrome resulting in multiorgan
failure and death. In this presentation all patients develop small vessel
occlusion in a short course of time (days to weeks), with a mortality
of 50%. For its treatment, glucocorticoids, heparin, plasma exchange,
cyclophosphamide and IVIG are used. This paper reports the case of a
male patient who rapidly developed multiorganic failure, thrombosis and
posterior aseptic necrosis of the right leg, and survived thanks to the early
multidisciplinary treatment but with the loss of the compromised leg.
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