Cutaneous manifestations in antiphospholipid syndrome.

نویسندگان

  • Lucía Campos-Muñoz
  • Alejandro Fueyo-Casado
  • Jose Antonio Cortés-Toro
  • Eduardo López-Bran
چکیده

The patient was a 54-year-old woman who had no significant previous medical history. She presented with pruriginous lesions that had started on her legs 1 year earlier and had spread to her thighs, buttocks and upper limbs. They were accompanied by slight fever and arthralgia. Physical examination revealed an irregular and diffuse violaceous reticulated discoloration that in certain regions had become purpuric. They were very suggestive of livedo reticularis or livedo racemosa (Fig. 1a). She also had distal purpura on the second toe of her right foot (Fig. 1b). The differential diagnosis included cryoglobulinemia, polyarteritis nodosa, livedoid vasculopathy, cholesterol crystal embolism concomitant with arteriosclerosis, polycythemia vera, essential thrombocytopenia, atrial myxoma, etc. Skin biopsy revealed hyaline thrombi in the papillary dermal vessels, with no inflammatory infiltrate in the vascular wall (Fig. 1c, d). An antibody positive for lupus anticoagulant was detected, and was confirmed 12 weeks later. She was treated with acetylsalicylic acid, chloroquine and prednisone, which led to the

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عنوان ژورنال:
  • Reumatologia clinica

دوره 13 4  شماره 

صفحات  -

تاریخ انتشار 2017