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Accidente cerebrovascular embólico por endocarditis de Libman-Sacks como manifestación inicial de síndrome antifosfolípidos primario en una paciente de 17 años: Report of one case
- Source :
- Revista médica de Chile. 141:1206-1210
- Publication Year :
- 2013
- Publisher :
- SciELO Agencia Nacional de Investigacion y Desarrollo (ANID), 2013.
-
Abstract
- Libman-Sacks endocarditis is a non-infectious valvular damage associated with autoimmune disorders such as Systemic Lupus Erythematosus and Antiphospholipid Syndrome. We report a 17-year-old female consulting in the emergency room due to a right hemiparesis and aphasia. A magnetic resonance imaging showed multiple infarctions in the territory of the left middle cerebral artery, presumably of embolic origin. A trans-esophageal echocardiogram showed a vegetation in the mitral valve. Blood cultures were negative. Antinuclear antibodies and serological tests for antiphospholipid syndrome were positive. Oral anticoagulation was started and the patient was discharged. After six months of follow up, antiphospholipid antibodies are still positive.
- Subjects :
- medicine.medical_specialty
medicine.diagnostic_test
Anti-nuclear antibody
business.industry
Magnetic resonance imaging
General Medicine
medicine.disease
Surgery
Serology
medicine.anatomical_structure
Left middle cerebral artery
immune system diseases
Antiphospholipid syndrome
Mitral valve
medicine
Endocarditis
cardiovascular diseases
skin and connective tissue diseases
business
Oral anticoagulation
Subjects
Details
- ISSN :
- 00349887
- Volume :
- 141
- Database :
- OpenAIRE
- Journal :
- Revista médica de Chile
- Accession number :
- edsair.doi...........a5da5170c6a673d82a7a2d6a1d454e9e