Accidente cerebrovascular embólico por endocarditis de Libman-Sacks como manifestación inicial de síndrome antifosfolípidos primario en una paciente de 17 años: Report of one case / Libman-Sacks endocarditis associated with antiphospholipid syndrome
Rev. méd. Chile
;
141(9): 1206-1210, set. 2013. ilus, tab
Article
in Spanish
| LILACS
| ID: lil-699688
ABSTRACT
Libman-Sacks endocarditis is a non-infectious valvular damage associated with autoimmune disorders such as Systemic Lupus Erythematosus and Antiphospholipid Syndrome. We report a 17-year-old female consulting in the emergency room due to a right hemiparesis and aphasia. A magnetic resonance imaging showed multiple infarctions in the territory of the left middle cerebral artery, presumably of embolic origin. A trans-esophageal echocardiogram showed a vegetation in the mitral valve. Blood cultures were negative. Antinuclear antibodies and serological tests for antiphospholipid syndrome were positive. Oral anticoagulation was started and the patient was discharged. After six months of follow up, antiphospholipid antibodies are still positive.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Antiphospholipid Syndrome
/
Endocarditis, Non-Infective
Type of study:
Diagnostic study
/
Risk factors
Limits:
Adolescent
/
Female
/
Humans
Language:
Spanish
Journal:
Rev. méd. Chile
Journal subject:
Medicine
Year:
2013
Type:
Article
Affiliation country:
Chile
Institution/Affiliation country:
Pontificia Universidad Católica de Chile/CL
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