Vascular Endothelial Cell Function in Catastrophic Antiphospholipid Syndrome: A Case Report and Review of the Literature
Catastrophic antiphospholipid syndrome (CAPS) is a rare autoimmune condition, which has been associated with a high mortality rate. However, with current management that includes a combination of anticoagulation, glucocorticoid administration, and plasma exchange, mortality rate has declined. Despit...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Hematology |
| Online Access: | http://dx.doi.org/10.1155/2013/710365 |
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| author | B. Routy T. Huynh R. Fraser C. Séguin |
| author_facet | B. Routy T. Huynh R. Fraser C. Séguin |
| author_sort | B. Routy |
| collection | DOAJ |
| description | Catastrophic antiphospholipid syndrome (CAPS) is a rare autoimmune condition, which has been associated with a high mortality rate. However, with current management that includes a combination of anticoagulation, glucocorticoid administration, and plasma exchange, mortality rate has declined. Despite survival improvement with new generation immunosuppressive agents, their mechanisms of action are poorly defined, and CAPS is still considered a high-risk complication in patients known with antiphospholipid antibody syndrome. Herein, we present a case of a 79-year-old male who presented with a myocardial infarct and renal failure secondary to CAPS following a splenectomy for immune thrombocytopenia. Regardless of rapid combination of first-line treatment and rituximab therapy, the patient developed lethal cardiogenic shock secondary to mitral valve papillary muscle necrosis. Discussion of the pathophysiology and avenues of future therapies in CAPS are reported. |
| format | Article |
| id | doaj-art-442f967e2058466c803a234ad8d03743 |
| institution | Kabale University |
| issn | 2090-6560 2090-6579 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hematology |
| spelling | doaj-art-442f967e2058466c803a234ad8d037432025-02-03T06:07:30ZengWileyCase Reports in Hematology2090-65602090-65792013-01-01201310.1155/2013/710365710365Vascular Endothelial Cell Function in Catastrophic Antiphospholipid Syndrome: A Case Report and Review of the LiteratureB. Routy0T. Huynh1R. Fraser2C. Séguin3Division of Haematology, Department of Medicine, McGill University Health Center (MUHC), 1650 Cedar Avenue, Montreal, QC, H3G 1A4, CanadaDivision of Cardiology, Department of Medicine, McGill University Health Center (MUHC), 1650 Cedar Avenue, Montreal, QC, H3G 1A4, CanadaDepartment of Pathology, McGill University Health Center (MUHC), 1650 Cedar Avenue, Montreal, QC, H3G 1A4, CanadaDivision of Haematology, Department of Medicine, McGill University Health Center (MUHC), 1650 Cedar Avenue, Montreal, QC, H3G 1A4, CanadaCatastrophic antiphospholipid syndrome (CAPS) is a rare autoimmune condition, which has been associated with a high mortality rate. However, with current management that includes a combination of anticoagulation, glucocorticoid administration, and plasma exchange, mortality rate has declined. Despite survival improvement with new generation immunosuppressive agents, their mechanisms of action are poorly defined, and CAPS is still considered a high-risk complication in patients known with antiphospholipid antibody syndrome. Herein, we present a case of a 79-year-old male who presented with a myocardial infarct and renal failure secondary to CAPS following a splenectomy for immune thrombocytopenia. Regardless of rapid combination of first-line treatment and rituximab therapy, the patient developed lethal cardiogenic shock secondary to mitral valve papillary muscle necrosis. Discussion of the pathophysiology and avenues of future therapies in CAPS are reported.http://dx.doi.org/10.1155/2013/710365 |
| spellingShingle | B. Routy T. Huynh R. Fraser C. Séguin Vascular Endothelial Cell Function in Catastrophic Antiphospholipid Syndrome: A Case Report and Review of the Literature Case Reports in Hematology |
| title | Vascular Endothelial Cell Function in Catastrophic Antiphospholipid Syndrome: A Case Report and Review of the Literature |
| title_full | Vascular Endothelial Cell Function in Catastrophic Antiphospholipid Syndrome: A Case Report and Review of the Literature |
| title_fullStr | Vascular Endothelial Cell Function in Catastrophic Antiphospholipid Syndrome: A Case Report and Review of the Literature |
| title_full_unstemmed | Vascular Endothelial Cell Function in Catastrophic Antiphospholipid Syndrome: A Case Report and Review of the Literature |
| title_short | Vascular Endothelial Cell Function in Catastrophic Antiphospholipid Syndrome: A Case Report and Review of the Literature |
| title_sort | vascular endothelial cell function in catastrophic antiphospholipid syndrome a case report and review of the literature |
| url | http://dx.doi.org/10.1155/2013/710365 |
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