Secondary Anti-Phospholipid Antibody Syndrome with Lupus Nephritis, Subclinical Hypothyroidism and Vitamin D DeficiencyA Rare Case Report of A Male Patient
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Antiphospholipid antibody syndrome is defined by the presence of thromboembolic complications and/or pregnancy morbidity in the presence of persistently increased titers of anti-phospholipid antibodies. Its clinical presentation can be diverse and any organ can be involved, with a current impact in most surgical and medical specialties. Here we present a case of a 52 years old male who presented to us with features of renal failure and multiple joint pain with history of multiple ischaemic strokes in the past. He was diagnosed by us as a case of secondary APLA syndrome (which is rare in males) and subsequently treated and followed up. We conclude that clinicians need to have a high index of suspicion of APS in patients who present with a thrombotic episode – clinicians should investigate for the presence of antiphospholipid antibodies, as early diagnosis may influence the course of the disease. Furthermore, resources for the detection of antiphospholipid antibodies should be made readily available in resource-limited settings. Finally, patient education on the importance of drug compliance, periodic monitoring, and prevention of thrombosis is indispensable, especially as mortality could be associated with the effects of vascular thrombosis and/or the effects of bleeding due to anticoagulants.
Authors and Affiliations
Dr. Sourav Misra, Professor Ng Taruni Devi
Keywords
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- EP ID EP444748
- DOI 10.9790/0853-1801160507.
- Views 47
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