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KMID : 0383820070630010072
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Tuberculosis and Respiratory Diseases
2007 Volume.63 No. 1 p.72 ~ p.77
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A Case of Primary Antiphospholipid Syndrome with Pulmonary Thromboembolism
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Lee Jae-Beom
Sim Yun-Su
Noh Young-Wook
Park Hye-Sung
Tae Chung-Hyun
Lim So-Yeon
Jun Yoon-Hee
Ryu Yon-Ju
Chun Eun-Mi
Lee Jin-Hwa
Chang Jung-Hyun
Moon Jin-Wook
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Abstract
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Antiphospholipid syndrome (APS) causes recurrent thromboses and morbidity during pregnancy, including fetal loss. This malady is associated with the persistent presence of anticardiolipin antibody or lupus anticoagulant. The pulmonary manifestations of antiphospholipid syndrome include pulmonary thromboembolism, pulmonary hypertension, acute respiratory distress syndrome, etc. Pulmonary thromboembolism is often the initial manifestation of antiphospholipid syndrome and a timely diagnosis is critical due to the high mortality rate. We herein report on a 19-year-old man with pulmonary thromboembolism that was caused by primary antiphospholipid syndrome. He presented with blood-tinged sputum, fever and epigastric pain, and his chest computerized tomography showed pulmonary thromboembolism. The other possible causes of pulmonary thromboembolism were excluded and the diagnosis of primary antiphospholipid syndrome was confirmed by the lupus anticoagulant that was present on two occasions six weeks apart. We also discuss the nature and management of antiphospholipid syndrome, along with a brief review of the relevant literatures
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KEYWORD
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Antiphospholipid syndrome, Pulmonary thromboembolism, Thrombosis
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