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전신홍반루푸스의 비장경색으로 처음 발현된 항인지질 증후군 1예
Splenic Infarction as the Initial Manifestation of Antiphospholipid Syndrome in a Systemic Lupus Erythematosus Patient

대한내과학회지 2014년 86권 5호 p.651 ~ p.654

정혜윤(Jeong Hye-Yun) - 차의과학대학교 분당차병원 내과
강산하(Kang San-Ha) - 차의과학대학교 분당차병원 내과
송지현(Song Ji-Hyun) - 차의과학대학교 분당차병원 내과
신선영(Shin Sun-Young) - 차의과학대학교 분당차병원 내과
민다니엘(Min Daniel) - 차의과학대학교 분당차병원 내과
한규현(Han Kyu-Hyun) - 차의과학대학교 분당차병원 내과
최진정(Choi Jin-Jung) - 차의과학대학교 분당차병원 내과

Abstract

Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease. In patients with SLE, the prevalence of antiphospholipid antibodies is considerably higher, and is largely responsible for thrombosis. Splenic infarction is a rare complication of arterial thrombosis in patients with SLE. It is important to consider splenic infarction in a patient with SLE complaining of left upper quadrant (LUQ) pain because of the possibility of severe infarction-related complications, such as subcapsular hemorrhage and splenic rupture. We report a case of solitary splenic infarction in a patient with SLE. The only symptom was LUQ pain of 3-day duration. Lupus anticoagulant activity was positive and abdominal-pelvic computed tomography (CT) was consistent with splenic infarction. She did not show any other evidence of thrombotic events. The patient was diagnosed with antiphospholipid syndrome that presented as a splenic infarction in a SLE patient.

키워드

Lupus erythematosus, Systemic, Antiphospholipid syndrome, Splenic infarction

KMID : 0882420140860050651

원문 및 링크아웃 정보

학회

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DOI

KCD코드

ICD 03

건강보험코드

전신홍반루푸스의 비장경색으로 처음 발현된 항인지질 증후군 1예 Splenic Infarction as the Initial Manifestation of Antiphospholipid Syndrome in a Systemic Lupus Erythematosus Patient

Abstract

키워드

전신홍반루푸스의 비장경색으로 처음 발현된 항인지질 증후군 1예
Splenic Infarction as the Initial Manifestation of Antiphospholipid Syndrome in a Systemic Lupus Erythematosus Patient