2017, Number 4
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Gac Med Mex 2017; 153 (4)
Síndrome antifosfolípidos catastrófico. Reporte de caso y revisión bibliográfica
del Carpio OL, Anaya Martínez CC, Bonilla Casas E
Language: Spanish
References: 15
Page: 531-536
PDF size: 336.02 Kb.
ABSTRACT
The present document is the report of a case of a very rare clinical entity, which presents with acute multiorganic failure after
a thrombotic storm related to antiphospholipid antibodies, the so-called catastrophic antiphospholipid syndrome, which began
as a recurrent picture of mesenteric thrombosis, with a previous history of venous insufficiency and distal ulcers probably
associated with an unidentified antiphospholipid; deserving management in intensive care and the consultation by the world
expert, Dr. Ricard Cervera who confirmed the diagnosis and recommend treating as such entity, the patient’s evolution was
satisfactory so far. Final recommendations for diagnosis and current treatment options such as rituximab or eculizumab are
made. The present case was added to the international registry that currently houses around 500 cases worldwide (International
CAPS Registry).
REFERENCES
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Rodríguez-Pintó I, Moitinho M, Santacreu I, et al. Catastrophic antiphospholipid syndrome (CAPS): descriptive analysis of 500 patients from the International CAPS Registry. Autoimmun Rev. 2016;15:1120-4.
Cervera R, Rodríguez-Pintó I, Colafrancesco S, et al. 14th International Congress on Antiphospholipid Antibodies Task Force Report on Catastrophic Antiphospholipid Syndrome. Autoimmun Rev. 2014;13:699-707.
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Asherson RA, Cervera R, Piette JC, et al. Catastrophic antiphospholipid syndrome. Clinical and laboratory features of 50 patients. Medicine (Balt). 1998;77:195-207.
Asherson RA, Cervera R, Piette JC, et al. Catastrophic antiphospholipid syndrome: clues to the pathogenesis from a series of 80 patients. Medicine (Balt). 2001;80:355-77.
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