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Case of an unusual diagnosis of primary antiphospholipid syndrome with multiple clinical complications
Authors
S. Tsiakas Skalioti, C. Kotsi, P. Boletis, I. Marinaki, S.
Publication date
1 January 2020
Publisher
Abstract
Antiphospholipid syndrome (APS) is a systemic autoimmune disease defined by the presence of antiphospholipid antibodies in association with thrombotic events and/or obstetric complications. Renal involvement is not infrequent in both primary and secondary APS. Kidney manifestations comprise a wide range of clinical features, including hypertension, major renal vessel thrombosis or microvascular endothelial injury, also described as APS nephropathy. In the absence of a thrombotic event, clinical manifestations of APS are often non-specific. We recently encountered a case of primary APS in a young male with newly diagnosed hypertension and renal impairment. The diagnosis of APS was initially suspected by his kidney biopsy findings, when electron microscopy examination showed the features of chronic microangiopathy, and was later confirmed by a triple positive antiphospholipid antibody profile and multiple organ involvement. © The Author(s) 2020
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Last time updated on 10/02/2023