Serra Sara, Saavedra M João, Salvador M João, Reis J Pedro, Malcata A
Interna do Internato Complementar de Reumatologia, Serviço de Reumatologia, Hospitais da Universidade de Coimbra, Coimbra.
Acta Reumatol Port. 2010 Apr-Jun;35(2):249-53.
The authors present a clinical case of a 30 year old male patient admitted to the hospital for recurrent cyanosis and feet pain lasting for one year. In addition he presented bilateral purpuric lesions in the lateral maleolar region, one of which with ulceration. The finding of anticardiolipin antibodies associated with intraluminal thrombosis in the dermal vessels, allowed to conclude for Antiphospholipid syndrome. The cutaneous changes identified are named livedoid vasculitis.
作者介绍了一名30岁男性患者的临床病例，该患者因反复发绀和足部疼痛入院，症状持续一年。此外，他在双侧外踝区域出现紫癜性病变，其中一处有溃疡。真皮血管内发现抗心磷脂抗体与腔内血栓形成相关，由此诊断为抗磷脂综合征。所发现的皮肤变化被称为青斑样血管炎。
