
UNUSUAL INITIAL PRESENTATION OF PRIMARY ANTIPHOSPHOLIPID SYNDROME AS POSTPARTUM SYMMETRICAL PERIPHERAL GANGRENE
Author(s) -
Marium Marufia Khan,
Sana Shahid,
Amara Zafar,
Nudrat Naz Khan,
Shaheen Bhatty
Publication year - 2022
Publication title -
jamc. journal of ayub medical college, abbotabad, pakistan/journal of ayub medical college
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.195
H-Index - 31
eISSN - 1819-2718
pISSN - 1025-9589
DOI - 10.55519/jamc-01-8695
Subject(s) - medicine , gangrene , presentation (obstetrics) , antiphospholipid syndrome , sepsis , postpartum period , pregnancy , obstetrics , surgery , thrombosis , biology , genetics
Antiphospholipid syndrome (APS) is an acquired prothrombic state with recurring thromboembolic and obstetric complications in the presence of antiphospholipid antibodies. Isolated skin manifestation especially symmetrical peripheral gangrene (SPG) in postpartum phase is reported rarely. To highlight this unusual presentation of APS with SPG we present a case of young female who developed SPG on her third postpartum day. Postpartum period runs a high risk of sepsis but development of such extensive and rapid ischemic changes in APS is seen uncommonly.