Yeungnam Univ J Med.  2017 Dec;34(2):260-264. 10.12701/yujm.2017.34.2.260.

Budd-Chiari syndrome with antiphospholipid syndrome and systemic lupus erythematosus in a patient with Klinefelter's syndrome

Affiliations
  • 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. leighdb@hanmail.net
  • 2Department of Pathology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.

Abstract

Klinefelter's syndrome is the most common congenital abnormality that causes primary hypogonadism. It is associated with diseases that predominantly affect women, such as systemic lupus erythematosus (SLE), and it can sometimes cause veno-occlusive disease. We experienced a case of Budd-Chiari syndrome (BCS) in a 33-year-old man with Klinefelter's syndrome presented with hematemesis and edema in both lower extremities. The clinical and laboratory findings were compatible with SLE, antiphospholipid syndrome, and BCS. To the best of our knowledge, this is the first case report to describe a simultaneous presentation of these four clinical syndromes in a single patient.

Keyword

Klinefelter's syndrome; Systemic lupus erythematosus; Antiphospholipid syndrome; Budd-Chiari syndrome; Liver cirrhosis

MeSH Terms

Adult
Antiphospholipid Syndrome*
Budd-Chiari Syndrome*
Congenital Abnormalities
Edema
Female
Hematemesis
Humans
Hypogonadism
Klinefelter Syndrome*
Liver Cirrhosis
Lower Extremity
Lupus Erythematosus, Systemic*
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