Marques Filho José
Santa Casa de Misericórdia de Araçatuba, Brasil.
Rev Bras Reumatol. 2011 Sep-Oct;51(5):514-6.
Vascular manifestations are not rare in systemic lupus erythematosus and, in most cases, are associated with antiphospholipid antibodies. Phlegmasia cerulea dolens is an unusual and severe complication of deep venous thrombosis of the lower limbs, which has a high mortality rate. In the literature, only two cases of phlegmasia cerulea dolens associated with primary antiphospholipid syndrome have been reported, but none associated with systemic lupus erythematosus. We report one case of phlegmasia cerulea dolens with rapid evolution to death in a patient with systemic lupus erythematosus in the remote postpartum period.
血管表现在系统性红斑狼疮中并不罕见,且在大多数情况下与抗磷脂抗体有关。股青肿是下肢深静脉血栓形成的一种罕见且严重的并发症,死亡率很高。在文献中,仅报道过两例与原发性抗磷脂综合征相关的股青肿病例,但尚无与系统性红斑狼疮相关的病例报道。我们报告一例系统性红斑狼疮患者在产后远期迅速进展至死亡的股青肿病例。