Criteria for the diagnosis of antiphospholipid syndrome in patients presenting with dermatologic symptoms - 19/08/11
Correspondence to: Sylvia Hsu, MD, Professor, Department of Dermatology, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030.Houston, Texas
Abstract |
The antiphospholipid syndrome (APS) is an autoimmune disorder characterized by the occurrence of arterial and/or venous thromboembolic events and obstetric complications in the setting of circulating antiphospholipid antibodies. Dermatologic manifestations are commonly seen in APS with almost half of the patients exhibiting varied conditions such as ulceration, splinter hemorrhages, and livedo reticularis. In this paper, we report the case of a 12-year-old boy who was diagnosed with APS after presenting with livedo reticularis and positive antiphospholipid antibodies. We discuss the difficulty of diagnosing APS in patients presenting solely with dermatologic complaints, as these skin manifestations are not specific enough for APS to be included in the Sapporo diagnostic criteria. Proposed revisions to the Sapporo criteria to increase its specificity and sensitivity are also addressed.
Le texte complet de cet article est disponible en PDF.Abbreviations used : APS, LR, SLE
Plan
| Funding sources: None. Conflicts of interest: None declared. Reprints not available from the authors. |
Vol 57 - N° 1
P. 112-115 - juillet 2007 Retour au numéro
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