Arthurs M, Morgan O S, deCeulaer K, Browne B
Department of Medicine, U.W.I., Jamaica.
West Indian Med J. 1994 Mar;43(1):27-9.
A case of the primary antiphospholipid syndrome (PAPS) in a 21-year-old Jamaican female is described. Recurrent abortions, thrombocytopenia and neurological complications as well as lupus anticoagulant positivity in the absence of features of systemic lupus erythematosus (SLE) were the main clinical findings. Diagnostic criteria, treatment and prognosis are discussed. When the antiphospholipid syndrome (APS) is present in the primary form, the diagnosis may be difficult but its recognition may prevent those vascular events which can lead to significant morbidity and foetal wastage.
本文描述了一名21岁牙买加女性原发性抗磷脂综合征（PAPS）的病例。反复流产、血小板减少和神经并发症，以及在无系统性红斑狼疮（SLE）特征情况下狼疮抗凝物阳性是主要临床发现。文中讨论了诊断标准、治疗方法和预后。当抗磷脂综合征（APS）以原发性形式出现时，诊断可能困难，但识别该综合征可预防那些可能导致严重发病和胎儿流产的血管事件。
