Newly Diagnosed SLE With APLS and Right Atrial Thrombus

Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder manifesting in myriad of forms and could affect almost any body system or organ. Antiphospholipid syndrome (APLS) is a relatively common scenario in SLE. Both arterial and venous thrombosis is a hallmark feature of APLS. Among other...

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Bibliographic Details
Published in:JIM - high impact case reports 2023-01, Vol.11, p.23247096231192923-23247096231192923
Main Authors: Ivyanskiy, Ilya, Abdelbaki, Shady, Qayyom, Muhammad Mohsin, Horn, Robin, Davey-Ranasinghe, Nicole
Format: Article
Language:English
Subjects:
Autoimmune diseases
Blood clots
Case Report
Lupus
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Summary:Systemic lupus erythematosus (SLE) is a chronic autoimmune disorder manifesting in myriad of forms and could affect almost any body system or organ. Antiphospholipid syndrome (APLS) is a relatively common scenario in SLE. Both arterial and venous thrombosis is a hallmark feature of APLS. Among others, intracardiac thrombus is a rare and potentially life-threatening presentation. It could occur in any heart chamber whereas the right atrium is the least common location. The treatment is based on anticoagulation preferably with warfarin along with treatment of SLE. We describe a young patient with newly diagnosed SLE with APLS complicated by right atrial thrombus formation. We are, therefore, adding to the scant literature on right atrial thrombi in SLE and increasing awareness of readers of this serious and potentially deadly condition if left unrecognized.
ISSN:2324-7096
2324-7096
DOI:10.1177/23247096231192923