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Lupus, Vol. 6, No. 6, 549-551 (1997)
DOI: 10.1177/096120339700600614

Central vein thrombosis in the antiphospholipid syndrome

JD Alcazar-Ramirez

Department of Internal Medicine, Division of Rheumatology, Systemic Autoimmune Diseases' Unit, University Hospital "Virgen de la Victoria", Colonia de Santa Inés s/n, 29010 Malaga, Spain

A. Femández-Nebro

Department of Internal Medicine, Division of Rheumatology, Systemic Autoimmune Diseases' Unit, University Hospital "Virgen de la Victoria", Colonia de Santa Inés s/n, 29010 Malaga, Spain

M. Abarca

Department of Internal Medicine, Division of Rheumatology, Systemic Autoimmune Diseases' Unit, University Hospital "Virgen de la Victoria", Colonia de Santa Inés s/n, 29010 Malaga, Spain

F. Salgado

Department of Internal Medicine, Division of Rheumatology, Systemic Autoimmune Diseases' Unit, University Hospital "Virgen de la Victoria", Colonia de Santa Inés s/n, 29010 Malaga, Spain

M. De Haro-Liger

Department of Internal Medicine, Division of Rheumatology, Systemic Autoimmune Diseases' Unit, University Hospital "Virgen de la Victoria", Colonia de Santa Inés s/n, 29010 Malaga, Spain

J. Rodriguez-Andreu

Department of Internal Medicine, Division of Rheumatology, Systemic Autoimmune Diseases' Unit, University Hospital "Virgen de la Victoria", Colonia de Santa Inés s/n, 29010 Malaga, Spain

P. González-Santos

Department of Internal Medicine, Division of Rheumatology, Systemic Autoimmune Diseases' Unit, University Hospital "Virgen de la Victoria", Colonia de Santa Inés s/n, 29010 Malaga, Spain

We report the case of a 38 y old man with antiphospholipid syndrome and exceptionally extensive central vein thrombosis in the right internal jugular vein, superior vena cava, and both subclavian veins. In spite of intensive anticoagulation therapy there was only a partial response. We suggest the MR angiography be the reference standard for diagnosis in this type of patient.

Key Words: antiphospholipid syndrome • central vein thrombosis • anticoagulation • magnetic resonance angiography


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[Abstract] [PDF]