Díaz Coto J F, Barahona Cuéllar R
Servicio de Reumatología, Hospital México, Caja Costarricense del Seguro Social, San José, Costa Rica.
Rev Clin Esp. 1995 Jan;195(1):29-30.
The case of a 35 years old female patient is here reported. Her previous medical records included repeated miscarriages and ischaemic ulcers in the right leg. She developed thrombosis at the left common femoral artery with serum antiphospholipid antibodies. The patient was treated with anticoagulants and two months later developed multiorganic failure. She was successfully managed with plasmapheresis, high dose prednisone, and anticoagulants. The clinical picture was considered to be a catastrophic antiphospholipid syndrome.
本文报告了一名35岁女性患者的病例。她既往的病历包括反复流产和右下肢缺血性溃疡。她出现了左股总动脉血栓形成,并伴有血清抗磷脂抗体。该患者接受了抗凝治疗,两个月后出现多器官功能衰竭。通过血浆置换、大剂量泼尼松和抗凝治疗,她成功得到了救治。临床症状被认为是灾难性抗磷脂综合征。