Recurrent pulmonary embolism in a boy with antiphospholipid syndrome - Case Reports in Clinical Medicine

CRCM > Vol.2 No.5, August 2013

Case Reports in Clinical Medicine

Volume 2, Issue 5 (August 2013)

ISSN Print: 2325-7075 ISSN Online: 2325-7083

Google-based Impact Factor: 0.2 Citations

Recurrent pulmonary embolism in a boy with antiphospholipid syndrome ()

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Download as PDF (Size: 161KB) PP. 310-314

DOI: 10.4236/crcm.2013.25083 3,896 Downloads 5,898 Views Citations

Author(s)

Christian Müller, Christian Willaschek, Mathias Borst, Reiner Buchhorn

Affiliation(s)

Department of Medicine, Caritas Krankenhaus, Bad Mergentheim, Germany.
Department of Pediatrics, Caritas Krankenhaus, Bad Mergentheim, Germany.
Department of Pediatrics, Caritas Krankenhaus, Bad Mergentheim, Germany;.

ABSTRACT

We report a 14-year-old patient with recurrent pulmonary embolism due to catastrophic antiphospholipid syndrome (APS) with severe pulmonary inflammation. We considered elevated antibodies against cardiolipin and anti-beta2-glycoprotein-1, but no clinical nor laboratory manifestations of systemic lupus erythematosus (SLE). Pulmonary embolism had been the first manifestation of catastrophic APS in this patient. We prescribed warfarin and systemic corticosteroids. A second embolism appeared during anticoagulation with warfarin. This event led to a marked decrease of his physical performance due to his obstructive and restrictive lung disease. Anticoagulation was changed from enteral warfarin to subcutaneous enoxaparine. We also prescribed inhaled corticosteroid which led to an improvement of his respiratory symptoms and overall poor physical condition.

KEYWORDS

Pulmonary Embolism; Antiphospholipid Syndrome; APS; Inhaled Corticosteroid

Share and Cite:

Müller, C. , Willaschek, C. , Borst, M. and Buchhorn, R. (2013) Recurrent pulmonary embolism in a boy with antiphospholipid syndrome. Case Reports in Clinical Medicine, 2, 310-314. doi: 10.4236/crcm.2013.25083.

Cited by

[1]	Pulmonary embolism in an adolescent girl with negative ACLA systemic lupus erythematosus (SLE): a case report
	Electronic physician, 2016

[2]	Pulmonary embolism in an adolescent girl with negative ACLA systemic lupus erythematosus (SLE)
	Electronic Physician, 2016

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