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Case Report
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Korean J Med. 2014;86(5):651-654. Published online May 1, 2014.
DOI: https://doi.org/10.3904/kjm.2014.86.5.651
- 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
- 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
- Corresponding author: Jin Jung Choi ,Tel: +82-31-780-5224, Fax: +82-31-780-5208, Email: jinjungchoi@cha.ac.kr
- Received: June 25, 2013; Revised: August 6, 2013 Accepted: October 16, 2013.
- 좌상복부 통증을 호소하는 전신홍반루푸스 환자에서 항 인지질 항체 양성 소견과 함께 비장경색이 단독으로 발생된 증례로 혈전증의 다른 위험 요인을 배제한 후 항인지질 항체 증후군으로 진단한 1예를 경험하였기에 보고하는 바이다.
߽ɾ :전신홍반루푸스; 항인지질 증후군; 비장경색
- Abstract
- 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)
Keywords :Lupus erythematosus, Systemic, Antiphospholipid syndrome, Splenic infarction
