Küçükşahin Orhan, Ateş Aşkın, Okoh Alexis K, Kulahcioglu Emre, Turgay Murat, Kınıklı Gülay
Department of Rheumatology, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, Turkey.
Department of Internal Medicine, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, Turkey.
Case Rep Rheumatol. 2014;2014:291382. doi: 10.1155/2014/291382. Epub 2014 Jul 8.
We report the case of a male patient with limited cutaneous systemic sclerosis (SSc) that was complicated with severe digital ischemia, resistant to medical treatment. Due to the lack of treatment response, further laboratory and imaging studies were conducted. Findings were compatible with antiphospholipid syndrome and oral warfarin was added to the treatment regimen. After successful anticoagulation no further recurrences of digital ischemia were seen. An underlying etiology in SSc patients with treatment resistant digital ischemic necrosis should be suspected for accompanying antiphospholipid syndrome (APS).
我们报告了一例男性局限性皮肤型系统性硬化症(SSc)患者,该患者并发严重指端缺血,药物治疗无效。由于治疗无反应,遂进行了进一步的实验室和影像学检查。检查结果符合抗磷脂综合征,于是在治疗方案中加入了口服华法林。成功抗凝后,未再出现指端缺血复发情况。对于治疗抵抗性指端缺血性坏死的SSc患者,应怀疑是否并发抗磷脂综合征(APS)。