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Journal of the Korean Academy of Rehabilitation Medicine 2005;29(2):231-234.
A Case Report of Antiphospholipid Syndrome Present with Deep Venous Thrombosis.
Seo, Jeong Hwan , Kim, Ji Yeon , Na, Seung Yong
Department of Physical Medicine & Rehabilitation and Research Institute of Clinical Medicine, Chonbuk National University Medical School, Korea. happijy@freechal.com
심부정맥 혈전증 치료 중 발견된 항인지질 증후군 1례⁣증례 보고⁣
서정환, 김지연, 나승용
전북대학교 의과대학 재활의학교실 및 임상의학연구소
Antiphospholipid syndrome is a thrombotic disorder characterized by arterial or venous thrombosis with the presence of antiphospholipid antibodies (aPA). We reported a 38- year-old man suffering deep vein thrombosis associated with antiphospholipid antibody syndrome. He underwent an interventional procedure of intravascular thrombolytic therapy and stent insertion due to deep vein thrombosis in the lower extremities. On the next day of the procedure, he complained of low back pain, motor weakness in lower extremities, sensory loss and voiding difficulty. Lumbar MRI revealed epidural hematoma between T12 and L2 spine, resulting in cauda equina syndrome. Twenty days later, pulmonary thromboembolism was newly diagnosed. In laboratory test, aPA was detected. Therefore, he was finally diagnosed as antiphospholipid syndrome. We reported this unusual case with the review of literatures. (J Korean Acad Rehab Med 2005; 29: 231-234)
Key Words: Antiphospholipid syndrome, Deep vein thrombosis, Pulmonary thromboembolism, Cauda equina syndrome
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