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Lupus
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Endocarditis and ulnar artery aneurysm as presenting features of antiphospholipid syndrome and polyarteritis nodosa

A C Egan

Lupus Research Unit

R Caleyachetty

Lupus Research Unit

T Sabharwal

Radiology Department

B Harper

Vascular Surgery Unit, St Thomas’ Hospital, Lambeth Palace Road, London

M Tomlinson

Vascular Surgery Unit, St Thomas’ Hospital, Lambeth Palace Road, London

B Kirkham

G RV Hughes

Vascular Surgery Unit, St Thomas’ Hospital, Lambeth Palace Road, London

D D’Cruz

Lupus Research Unit, david.d'cruz{at}kcl.ac.uk

Antiphospholipid syndrome in association with vasculitis is highlighted in this report. The combination of thrombotic and inflammatory processes resulted in endocarditis, aneurysm formation and thrombosis. To our knowledge this is the first presentation of a large vessel aneurysm in these conditions. Anticoagulation and immunosuppression are the treatment modalities of choice.

Key Words: aneurysm • antiphospholipid syndrome • endocarditis • polyarteritis nodosa

Lupus, Vol. 14, No. 11, 914-917 (2005)
DOI: 10.1191/0961203305lu2185cr
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