Open AccessFatal catastrophic antiphospholipid syndrome at presentation of juvenile lupus
Author(s) -
Debapoma Biswas,
S R Sutradhar,
Argha Rajbanshi,
Priyankar Pal
Publication year - 2021
Publication title -
indian journal of case reports
Language(s) - English
Resource type - Journals
eISSN - 2454-1303
pISSN - 2454-129X
DOI - 10.32677/ijcr.v7i11.3119
Subject(s) - medicine , catastrophic antiphospholipid syndrome , antiphospholipid syndrome , cyclophosphamide , thrombosis , systemic lupus erythematosus , surgery , presentation (obstetrics) , dermatology , pediatrics , chemotherapy , disease
Catastrophic antiphospholipid syndrome (CAPS) is a severe and rare form of antiphospholipid syndrome, extremely uncommon inthe pediatric age group, characterized by multiple site thrombosis involving small, medium, and large blood vessels occurring over a short period of time (usually 1 week) causing multiorgan failure. We report the case of an 8-year-old girl presenting with fever, lymphadenopathy, and pain abdomen with refractory mitral regurgitation diagnosed as systemic lupus erythematosus with CAPS. All three antiphospholipid antibodies positivity in high titers further confirmed the diagnosis. In spite of the early initiation of adequate triple therapy (anticoagulation, steroids, and cyclophosphamide), our patient succumbed. The report aims to incorporate a greater awareness among clinicians for timely diagnosis and treatment of this condition and throws light on the varying ways in which lupus can present in children.