| Splenic Infarction as the Initial Manifestation of Antiphospholipid Syndrome in a Systemic Lupus Erythematosus Patient |
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Hye Yun Jeong, San Ha Kang, Ji Hyun Song, Sun Young Shin, Daniel Min, Kyu Hyun Han, Jin Jung Choi |
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Division of Rheumatology, Department of Internal Medicine, Bundang CHA Medical Center, CHA University, Seongnam, Korea |
| 전신홍반루푸스의 비장경색으로 처음 발현된 항인지질 증후군 1예 |
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정혜윤, 강산하, 송지현, 신선영, 민다니엘, 한규현, 최진정 |
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차의과학대학교 분당차병원 내과 |
Correspondence:
Jin Jung Choi, Tel: +82-31-780-5224, Fax: +82-31-780-5208, Email: jinjungchoi@cha.ac.kr
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Received: 25 June 2013 • Revised: 6 August 2013 • Accepted: 16 October 2013 |
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| This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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| Abstract |
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Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease. In patients with SLE, the prevalence of antiphospholipid antibodies is considerably higher, and is largely responsible for thrombosis. Splenic infarction is a rare complication of arterial thrombosis in patients with SLE. It is important to consider splenic infarction in a patient with SLE complaining of left upper quadrant (LUQ) pain because of the possibility of severe infarction-related complications, such as subcapsular hemorrhage and splenic rupture. We report a case of solitary splenic infarction in a patient with SLE. The only symptom was LUQ pain of 3-day duration. Lupus anticoagulant activity was positive and abdominal-pelvic computed tomography (CT) was consistent with splenic infarction. She did not show any other evidence of thrombotic events. The patient was diagnosed with antiphospholipid syndrome that presented as a splenic infarction in a SLE patient. (Korean J Med 2014;86:651-654) |
| Key Words:
Lupus erythematosus; Systemic; Antiphospholipid syndrome; Splenic infarction |
| 주제어:
전신홍반루푸스; 항인지질 증후군; 비장경색 |
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