Venous Thrombosis in Atypical Site in Coexisting APS and SLE: A Case Report

Abstract

Background: Systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS) are different clinical conditions, but they can coexist and lead to an increased thrombosis risk.

Case History: A 34-year-old Moroccan female presented to the Emergency Department complaining of abdominal pain for two weeks, worsened in the last 48 hours. Her past medical history included recurrent oral aphthosis and pleuro-pericarditis, uterine fibroid and post-hemorrhagic anemia.

On examination the abdomen was soft but tender on deep palpation, especially in the epi-mesogastrium; she also presented painful metacarpophalangeal joints on pressure, livedo racemosa and hair loss.