Korean J Med.
2011 Jun;80(Suppl 2):S319-S324.
Catastrophic Antiphospholipid Syndrome Improved by Anticoagulation Alone
- Affiliations
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- 1Department of Internal Medicine, Seoul Medical Center, Seoul, Korea. narikg@hanmail.net
Abstract
- Catastrophic antiphospholipid syndrome (APS) is an accelerated subtype of APS that results in multiorgan failure. Although catastrophic APS represents about 0.8% of all APS cases, it is usually a life-threatening medical condition that requires high clinical awareness. Catastrophic APS has been managed by various therapies, including anticoagulation, corticosteroids, plasma exchange and IV immunoglobulin, but it still has a high mortality rate. A few cases treated by anticoagulation and steroids have been reported in Korea. In this paper, we report a case of catastrophic APS that improved after anticoagulation therapy alone. Thus, we consider hat our case shows another clinical aspect of catastrophic APS.