Gastrointestinal symptoms as the first manifestation of antiphospholipid syndrome

BMC Gastroenterology

Jin Zhang¹  Zhongqi Fan²  Weiling Xu³  Xiaojuan Zou⁴  Zhenyu Jiang⁴  Ling Zhao⁴ 

[1] Department of Cardiovascular Center, The First Hospital of Jilin University, 130012, Changchun, Jilin, China;Department of Hepatobiliary Pancreatic Surgery, The First Hospital of Jilin University, 130012, Changchun, China;Department of Radiology, The First Hospital of Jilin University, 130012, Changchun, China;Department of Rheumatology, The First Hospital of Jilin University, 130012, Changchun, Jilin, China;

关键词: Antiphospholipid syndrome;    Antiphospholipid antibodies;    Intestinal necrosis;    Intestinal obstruction;    Mesenteric thrombosis;   

DOI  :  10.1186/s12876-021-01736-2

来源: Springer

【 摘 要 】

BackgroundAntiphospholipid syndrome (APS) is an acquired pre-thrombotic autoimmune condition, which produces autoantibodies called antiphospholipid antibodies (APL) against phospholipid-binding plasma proteins. The diagnosis of APS requires at least one of Sapporo standard clinical manifestations and one laboratory criteria (persistently medium/high titer anticardiolipin antibodies, and/or medium/high titer anti-β2-glycoprotein I antibodies, and/or a positive lupus anticoagulant test). Gastrointestinal lesions are rarely reported in APS patients. APS cases with recurrent abdominal pain as the first clinical manifestation are even rarer.Case presentationThis report describes an APS case with recurrent abdominal pain as the first clinical manifestation of antiphospholipid syndrome. The patient has a history of two miscarriages. Computed tomography of the abdomen confirmed mesenteric thrombosis and intestinal obstruction while laboratory tests for serum antiphospholipid and anti-β2-glycoprotein I antibodies were positive. This led to the diagnosis of APS.ConclusionsThis paper provides useful information on gastrointestinal manifestations and APS, also including a brief literature review about possible gastrointestinal symptoms of APS.

【 授权许可】

CC BY