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Revista Virtual de la Sociedad Paraguaya de Medicina Interna

On-line version ISSN 2312-3893

Abstract

SERNA-TREJOS, Juan Santiago; NEIRA-RUIZ, Laura Carolina  and  BERMUDEZ-MOYANO, Stefanya Geraldine. Atypical presentation of antiphospholipid síndrome. Rev. virtual Soc. Parag. Med. Int. [online]. 2024, vol.11, n.1, e11142405.  Epub May 10, 2024. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2024.e11142405.

Antiphospholipid syndrome is considered a collagen disorder associated with clinical presentations at intermediate ages with incidences of no more than 5 cases per 100,000 people. Its clinical spectrum ranges from the presence of multisystem thrombotic manifestations of vascular origin. However, non-vascular manifestations have a rare spectrum in their usual presentation. The case of a 64-year-old man with ocular manifestations related to amaurosis fugax associated with retinal structural alterations is presented. The findings of screening performed were strongly suggestive of primary thrombophilia. A profile for antiphospholipid syndrome was applied, which was positive and therefore, full anticoagulation was initiated.

Keywords : antiphospholipid syndrome; antiphospholipid antibodies; retinal vein occlusion; amaurosis fugax.

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