ABSTRACT
Treatment of antiphospholipid syndrome (APS) is controversial. We report a case of renal microangiopathy in a 40-year-old woman with APS. The nephropathy was isolated without signs of disseminated thrombotic microangiopathy or progressive systemic sclerosis. Similarities with sclerodermatous kidney and an increase in plasma renin activity led us to initiate treatment with aspirin and captopril, with excellent control of the renal syndrome. We believe this therapeutic regimen may be an effective means of treating the renal microangiopathy of APS.
Subject(s)
Antiphospholipid Syndrome/complications , Aspirin/therapeutic use , Captopril/therapeutic use , Kidney Diseases/drug therapy , Adult , Arterioles/pathology , Drug Therapy, Combination , Female , Humans , Kidney/blood supply , Kidney/pathology , Kidney Diseases/etiology , Kidney Diseases/pathologyABSTRACT
We report the case of a woman splenectomized to treat her hairy cell leukemia (at the moment in remission) 11 years before the detection of neutropenia. The neutropenia began just after the treatment of pulmonary embolism by acenocoumarol. The neutropenia disappeared quickly after substitution of acenocoumarol by fluindione. We discuss the attribution of the neutropenia to acenocoumarol and the part played by hairy cell leukemia.
