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Antiphospholipid syndrome in pregnancy: a diagnostic dilemma
Author(s) -
Clark Frank L,
Greenwood Peter,
Forster Peter J G
Publication year - 1994
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1994.tb126607.x
Subject(s) - antiphospholipid syndrome , pregnancy , dilemma , medicine , obstetrics , philosophy , biology , genetics , epistemology
Objective To present a case of severe pre‐eclampsia in which diagnosis of the antiphospholipid syndrome was made after delivery, and to discuss pointers to the diagnosis. Clinical features A 32‐year‐old woman in her second pregnancy presented at 32 weeks’ gestation with severe pre‐eclampsia. Her persisting severe postpartum illness was investigated. The presence of anti‐cardiolipin antibodies and lupus anticoagulant led to the diagnosis of antiphospholipid syndrome. Intervention and outcome Induction of labour was successful, with delivery of a healthy baby girl. The patient made a full recovery after treatment with corticosteroids and warfarin. Conclusion The antiphospholipid syndrome should be considered in cases of severe early pre‐eclampsia.