Catastrophic Antiphospholipid Syndrome Associated with Systemic Lupus Erythematosus Successfully Treated with Rituximab: A Case Report
Journal of Rheumatic Diseases
; : 74-78, 2019.
Article
em En
| WPRIM
| ID: wpr-719458
Biblioteca responsável:
WPRO
ABSTRACT
The catastrophic variant of antiphospholipid syndrome (APS) is a very rare and life-threatening condition of APS. This condition is characterized by thrombosis in multiple organs within a short period of time in the presence of positive antiphospholipid antibodies (aPL). Over the past few decades, considerable progress has been made in the treatment of patients with catastrophic APS; however, the mortality rate still remains very high. Although some cases of rituximab treatment in patients with catastrophic APS have been reported, there is no clear treatment protocol. A 14-year-old girl with systemic lupus erythematosus was diagnosed with catastrophic APS. She received several medications: corticosteroids, intravenous immunoglobulin, and plasmapheresis with anticoagulants. Unfortunately, she did not improve, and rituximab was started with four courses. After the rituximab treatment, she did not experience further thrombotic events during the follow up. This paper reports a pediatric case of catastrophic APS treated successfully with rituximab in Korea.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Trombose
/
Imunoglobulinas
/
Protocolos Clínicos
/
Seguimentos
/
Mortalidade
/
Plasmaferese
/
Síndrome Antifosfolipídica
/
Corticosteroides
/
Anticorpos Antifosfolipídeos
/
Rituximab
Tipo de estudo:
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Female
/
Humans
País/Região como assunto:
Asia
Idioma:
En
Revista:
Journal of Rheumatic Diseases
Ano de publicação:
2019
Tipo de documento:
Article