Elezović I, Matijević-Aleksić N, Rolović Z
Srp Arh Celok Lek. 1994 May-Jun;122(5-6):179-81.
A 36-year old woman with recurrent thrombosis manifested in the form of venous thrombosis of the leg, thrombus in the right atrium and ventricle of the heart, pulmonary embolism and recurrent foetal loss, is described. Laboratory results showed prolonged APTT and normal coagulation factors. All this suggested to lupus anticoagulant (LA), which was confirmed by prolonged KCT, DRVVT, false positive VDRL test, and high level of anticardiolipin antibodies (ELISA). The diagnosis of primary antiphospholipid syndrome was established by clinical findings of recurrent thrombosis, foetal loss, presence of LA and anticardiolipin antibodies.
本文描述了一名36岁女性,反复出现血栓形成,表现为腿部静脉血栓、右心房和心室血栓、肺栓塞以及反复流产。实验室检查结果显示活化部分凝血活酶时间(APTT)延长,凝血因子正常。所有这些提示存在狼疮抗凝物(LA),这通过白陶土部分凝血活酶时间(KCT)延长、稀释蝰蛇毒时间(DRVVT)延长、性病研究实验室试验(VDRL)假阳性以及抗心磷脂抗体(ELISA)水平升高得以证实。根据反复血栓形成、流产、存在LA和抗心磷脂抗体的临床发现,确诊为原发性抗磷脂综合征。