Flare of Antiphospholipid Syndrome in the Course of COVID-19.
Identifieur interne : 000C11 ( Main/Corpus ); précédent : 000C10; suivant : 000C12Flare of Antiphospholipid Syndrome in the Course of COVID-19.
Auteurs : Alexandre Thibault Jacques Maria ; Isabelle Diaz-Cau ; Jean-Marc Benejean ; Anaïs Nutz ; Aurélie Schiffmann ; Christine Biron-Andreani ; Philippe GuilpainSource :
- TH open : companion journal to thrombosis and haemostasis [ 2512-9465 ] ; 2020.
Abstract
We report the case of a 48-year-old man followed since 2013 for primary antiphospholipid syndrome (APLS) revealed by venous thromboembolism in the presence of antiphospholipid antibodies (APL-Abs, anticardiolipin and anti-β-2-glycoprotein-1), who decompensated in the course of coronavirus disease (COVID-19). Despite efficient anticoagulation, he suffered bilateral adrenal glands hemorrhage and limb arterial ischemia. The tropism of severe acute respiratory syndrome coronavirus-2 for endothelium can lead to microangiopathy and increased risk for thrombosis. If APL-Abs positivity can be an epiphenomenon under inflammatory and prothrombotic conditions, COVID-19 was herein responsible for disseminated thrombosis and a threat of catastrophic APLS, despite efficient anticoagulation.
DOI: 10.1055/s-0040-1716735
PubMed: 32935073
PubMed Central: PMC7486139
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<front><div type="abstract" xml:lang="en">We report the case of a 48-year-old man followed since 2013 for primary antiphospholipid syndrome (APLS) revealed by venous thromboembolism in the presence of antiphospholipid antibodies (APL-Abs, anticardiolipin and anti-β-2-glycoprotein-1), who decompensated in the course of coronavirus disease (COVID-19). Despite efficient anticoagulation, he suffered bilateral adrenal glands hemorrhage and limb arterial ischemia. The tropism of severe acute respiratory syndrome coronavirus-2 for endothelium can lead to microangiopathy and increased risk for thrombosis. If APL-Abs positivity can be an epiphenomenon under inflammatory and prothrombotic conditions, COVID-19 was herein responsible for disseminated thrombosis and a threat of catastrophic APLS, despite efficient anticoagulation.</div>
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<Abstract><AbstractText>We report the case of a 48-year-old man followed since 2013 for primary antiphospholipid syndrome (APLS) revealed by venous thromboembolism in the presence of antiphospholipid antibodies (APL-Abs, anticardiolipin and anti-β-2-glycoprotein-1), who decompensated in the course of coronavirus disease (COVID-19). Despite efficient anticoagulation, he suffered bilateral adrenal glands hemorrhage and limb arterial ischemia. The tropism of severe acute respiratory syndrome coronavirus-2 for endothelium can lead to microangiopathy and increased risk for thrombosis. If APL-Abs positivity can be an epiphenomenon under inflammatory and prothrombotic conditions, COVID-19 was herein responsible for disseminated thrombosis and a threat of catastrophic APLS, despite efficient anticoagulation.</AbstractText>
<CopyrightInformation>The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ).</CopyrightInformation>
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<AffiliationInfo><Affiliation>IRMB, Inserm U1183, CHU Montpellier (Saint-Eloi University Hospital), University of Montpellier, Montpellier, France.</Affiliation>
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<AffiliationInfo><Affiliation>IRMB, Inserm U1183, CHU Montpellier (Saint-Eloi University Hospital), University of Montpellier, Montpellier, France.</Affiliation>
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<CoiStatement>Conflict of Interest A.T.J.M. declares speaking fees from Sanofi, AstraZeneca, and Bristol Myers Squibb in the last 36 months. P.G. has been a medical expert for LFB (Laboratoire Français du Biofractionnement) and has received fees from Actelion, Novartis, and Pfizer in the last 36 months. The other authors declare no conflict of interest.</CoiStatement>
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