Atypical Presentation of Antiphospholipid Syndrome: A Case Report

We report an atypical presentation of Antiphospholipid syndrome (APS) with concomitant subhyaloid hemorrhage, engorged and tortuous retinal veins, intraretinal hemorrhages, and cotton wool spots in a 38-year-old female. Medical treatment was preferred to any invasive treatment. The subhyaloid hemorr...

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Published in:Case reports in ophthalmology Vol. 5; no. 3; pp. 400 - 404
Main Authors: Mariotti, Cesare, Giovannini, Alfonso, Reibaldi, Michele, Saitta, Andrea, Viti, Francesca, Nicolai, Michele
Format: Journal Article
Language:English
Published: Basel, Switzerland S. Karger AG 26.11.2014
Karger Publishers
Subjects:
Antiphospholipid syndrome
Intraretinal hemorrhage
Published: November 2014
Subhyaloid hemorrhage
Intraretinal hemorrhage
Antiphospholipid syndrome
Subhyaloid hemorrhage
ISSN:1663-2699, 1663-2699
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Abstract We report an atypical presentation of Antiphospholipid syndrome (APS) with concomitant subhyaloid hemorrhage, engorged and tortuous retinal veins, intraretinal hemorrhages, and cotton wool spots in a 38-year-old female. Medical treatment was preferred to any invasive treatment. The subhyaloid hemorrhage resolved spontaneously and the patient recovered a visual acuity of 20/20 in her right eye 3 months after the initial episode. A prompt diagnosis of this condition is fundamental to consider a systemic treatment to avoid any further thrombosis.
AbstractList We report an atypical presentation of Antiphospholipid syndrome (APS) with concomitant subhyaloid hemorrhage, engorged and tortuous retinal veins, intraretinal hemorrhages, and cotton wool spots in a 38-year-old female. Medical treatment was preferred to any invasive treatment. The subhyaloid hemorrhage resolved spontaneously and the patient recovered a visual acuity of 20/20 in her right eye 3 months after the initial episode. A prompt diagnosis of this condition is fundamental to consider a systemic treatment to avoid any further thrombosis.
We report an atypical presentation of Antiphospholipid syndrome (APS) with concomitant subhyaloid hemorrhage, engorged and tortuous retinal veins, intraretinal hemorrhages, and cotton wool spots in a 38-year-old female. Medical treatment was preferred to any invasive treatment. The subhyaloid hemorrhage resolved spontaneously and the patient recovered a visual acuity of 20/20 in her right eye 3 months after the initial episode. A prompt diagnosis of this condition is fundamental to consider a systemic treatment to avoid any further thrombosis.We report an atypical presentation of Antiphospholipid syndrome (APS) with concomitant subhyaloid hemorrhage, engorged and tortuous retinal veins, intraretinal hemorrhages, and cotton wool spots in a 38-year-old female. Medical treatment was preferred to any invasive treatment. The subhyaloid hemorrhage resolved spontaneously and the patient recovered a visual acuity of 20/20 in her right eye 3 months after the initial episode. A prompt diagnosis of this condition is fundamental to consider a systemic treatment to avoid any further thrombosis.
Author Nicolai, Michele
Giovannini, Alfonso
Reibaldi, Michele
Viti, Francesca
Mariotti, Cesare
Saitta, Andrea
AuthorAffiliation c Department of Ophthalmology University of Catania, Catania, Italy
b Department of Ophthalmology Ospedali Riuniti, Ancona, Italy
a Department of Ophthalmology Università Politecnica delle Marche, Italy
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Keywords Intraretinal hemorrhage
Antiphospholipid syndrome
Subhyaloid hemorrhage
Language English
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References Utz VM, Tang J: Ocular manifestations of the antiphospholipid syndrome Br J Ophthalmol 2011;95:454-459.2069355710.1136/bjo.2010.182857
Cervera R, Boffa MC, Khamashta MA, et al: The Euro-Phospholipid project: epidemiology of the antiphospholipid syndrome in Europe. Lupus 2009;18:889-893.1967178810.1177/0961203309106832
Miyakis S, Lockshin MD, Atsumi T, et al: International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS). J Thromb Haemost 2006;4:295-306.1642055410.1111/j.1538-7836.2006.01753.x
Boets EP, Chaar CG, Roday K, Keunen JE, Breedveld FC: Chorioretinopathy in primary antiphospholipid syndrome: a case report. Retina 1998;18:382-385.973018810.1097/00006982-199807000-00019
Asherson RA, Merry P, Acheson JF, et al: Antiphospholipid antibodies: a risk factor for occlusive ocular vascular disease in systemic lupus erythematosus and the ‘primary' antiphospholipid syndrome. Ann Rheum Dis 1989;48:358-361.263767810.1136/ard.48.5.358
Demirci FY, Kucukkaya R, Akarcay K, et al: Ocular involvement in primary antiphospholipid syndrome. Ocular involvement in primary APS. Int Ophthalmol 1998;22:323-329.1093784510.1023/A:1006305705080
Wong RC, Favaloro EJ: Clinical features, diagnosis, and management of the antiphospholipid syndrome. Semin Thromb Hemost 2008;34:295-304.1872031110.1055/s-0028-1082275
Levine JS, Branch DW, Rauch J: The antiphospholipid syndrome. N Engl J Med 2002;346:752-763.1188273210.1056/NEJMra002974
Leo-Kottler B, Klein R, Berg PA, et al: Ocular symptoms in association with antiphospholipid antibodies. Graefes Arch Clin Exp Ophthalmol 1998;236:658-668.978242610.1007/s004170050138
ref8
ref7
ref9
ref4
ref3
ref6
ref5
ref2
ref1
References_xml – reference: Boets EP, Chaar CG, Roday K, Keunen JE, Breedveld FC: Chorioretinopathy in primary antiphospholipid syndrome: a case report. Retina 1998;18:382-385.973018810.1097/00006982-199807000-00019
– reference: Asherson RA, Merry P, Acheson JF, et al: Antiphospholipid antibodies: a risk factor for occlusive ocular vascular disease in systemic lupus erythematosus and the ‘primary' antiphospholipid syndrome. Ann Rheum Dis 1989;48:358-361.263767810.1136/ard.48.5.358
– reference: Cervera R, Boffa MC, Khamashta MA, et al: The Euro-Phospholipid project: epidemiology of the antiphospholipid syndrome in Europe. Lupus 2009;18:889-893.1967178810.1177/0961203309106832
– reference: Miyakis S, Lockshin MD, Atsumi T, et al: International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS). J Thromb Haemost 2006;4:295-306.1642055410.1111/j.1538-7836.2006.01753.x
– reference: Demirci FY, Kucukkaya R, Akarcay K, et al: Ocular involvement in primary antiphospholipid syndrome. Ocular involvement in primary APS. Int Ophthalmol 1998;22:323-329.1093784510.1023/A:1006305705080
– reference: Leo-Kottler B, Klein R, Berg PA, et al: Ocular symptoms in association with antiphospholipid antibodies. Graefes Arch Clin Exp Ophthalmol 1998;236:658-668.978242610.1007/s004170050138
– reference: Wong RC, Favaloro EJ: Clinical features, diagnosis, and management of the antiphospholipid syndrome. Semin Thromb Hemost 2008;34:295-304.1872031110.1055/s-0028-1082275
– reference: Utz VM, Tang J: Ocular manifestations of the antiphospholipid syndrome Br J Ophthalmol 2011;95:454-459.2069355710.1136/bjo.2010.182857
– reference: Levine JS, Branch DW, Rauch J: The antiphospholipid syndrome. N Engl J Med 2002;346:752-763.1188273210.1056/NEJMra002974
– ident: ref7
  doi: 10.1177/0961203309106832
– ident: ref2
  doi: 10.1136/bjo.2010.182857
– ident: ref3
  doi: 10.1055/s-0028-1082275
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  doi: 10.1056/NEJMra002974
– ident: ref8
  doi: 10.1007/s004170050138
– ident: ref1
  doi: 10.1111/j.1538-7836.2006.01753.x
– ident: ref9
  doi: 10.1097/00006982-199807000-00019
– ident: ref5
  doi: 10.1136/ard.48.5.358
– ident: ref6
  doi: 10.1023/A:1006305705080
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SubjectTerms Antiphospholipid syndrome
Intraretinal hemorrhage
Published: November 2014
Subhyaloid hemorrhage
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