Mor F, Beigel Y, Inbal A, Goren M, Wysenbeek A J
Department of Internal Medicine B, Beilinson Medical Center, Petah Tiqva, Israel.
Arthritis Rheum. 1989 Apr;32(4):491-5. doi: 10.1002/anr.1780320421.
We describe a 31-year-old patient with missed abortion, thrombocytopenia, and clinical, laboratory, and radiologic evidence of hepatic infarction. On evaluation, she was found to have the lupus anticoagulant. The association between enhanced thrombosis and the lupus anticoagulant is discussed, and previously reported thrombotic complications are described. The etiology, clinical course, and radiologic features of liver infarction are summarized, and the importance of recognizing and treating this form of hypercoagulability is stressed. To our knowledge, this is the first description of liver infarction associated with the lupus anticoagulant.
我们描述了一名31岁的稽留流产患者，伴有血小板减少症，并有肝脏梗死的临床、实验室及影像学证据。经评估，发现她患有狼疮抗凝物。本文讨论了血栓形成增强与狼疮抗凝物之间的关联，并描述了先前报道的血栓形成并发症。总结了肝梗死的病因、临床过程及影像学特征，并强调了认识和治疗这种高凝状态的重要性。据我们所知，这是首次对与狼疮抗凝物相关的肝梗死进行描述。
