Misdiagnosing Sneddon syndrome: Always look skin deep!!

We hereby present a case of a 41-year-old female with hypertension and right mastectomy, who presented with bilateral visual loss, weakness of all four limbs, and livedo reticularis of acute onset and was found to have multifocal areas of infarct in bilateral occipital lobes and left external capsul...

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Main Authors: Richa Kumar, Mylavarapu Harish Kumar, Abhyam Gupta, Brijesh Nair
Format: Article
Language:English
Published: SAGE Publishing 2023-01-01
Series:Indian Journal of Rheumatology
Subjects:
Online Access:http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2023;volume=18;issue=3;spage=227;epage=230;aulast=Kumar
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author Richa Kumar
Mylavarapu Harish Kumar
Abhyam Gupta
Brijesh Nair
author_facet Richa Kumar
Mylavarapu Harish Kumar
Abhyam Gupta
Brijesh Nair
author_sort Richa Kumar
collection DOAJ
description We hereby present a case of a 41-year-old female with hypertension and right mastectomy, who presented with bilateral visual loss, weakness of all four limbs, and livedo reticularis of acute onset and was found to have multifocal areas of infarct in bilateral occipital lobes and left external capsule due to antiphospholipid syndrome. Various differentials in the form of sepsis-induced posterior reversible encephalopathy syndrome, posterior circulation stroke, and purpura fulminans confused the final diagnosis of an orphan disease – Sneddon syndrome. This case is reported for the rarity of the disease and the diagnostic dilemmas faced by the nondermatologist in diagnosing this condition even in the presence of striking skin changes.
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institution Kabale University
issn 0973-3698
0973-3701
language English
publishDate 2023-01-01
publisher SAGE Publishing
record_format Article
series Indian Journal of Rheumatology
spelling doaj-art-6c71d7bfe67e4d2388b60db7b348ffb22025-08-20T03:34:09ZengSAGE PublishingIndian Journal of Rheumatology0973-36980973-37012023-01-0118322723010.4103/injr.injr_119_22Misdiagnosing Sneddon syndrome: Always look skin deep!!Richa KumarMylavarapu Harish KumarAbhyam GuptaBrijesh NairWe hereby present a case of a 41-year-old female with hypertension and right mastectomy, who presented with bilateral visual loss, weakness of all four limbs, and livedo reticularis of acute onset and was found to have multifocal areas of infarct in bilateral occipital lobes and left external capsule due to antiphospholipid syndrome. Various differentials in the form of sepsis-induced posterior reversible encephalopathy syndrome, posterior circulation stroke, and purpura fulminans confused the final diagnosis of an orphan disease – Sneddon syndrome. This case is reported for the rarity of the disease and the diagnostic dilemmas faced by the nondermatologist in diagnosing this condition even in the presence of striking skin changes.http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2023;volume=18;issue=3;spage=227;epage=230;aulast=Kumarantiphospholipid syndromeinfarctssneddon syndrome
spellingShingle Richa Kumar
Mylavarapu Harish Kumar
Abhyam Gupta
Brijesh Nair
Misdiagnosing Sneddon syndrome: Always look skin deep!!
Indian Journal of Rheumatology
antiphospholipid syndrome
infarcts
sneddon syndrome
title Misdiagnosing Sneddon syndrome: Always look skin deep!!
title_full Misdiagnosing Sneddon syndrome: Always look skin deep!!
title_fullStr Misdiagnosing Sneddon syndrome: Always look skin deep!!
title_full_unstemmed Misdiagnosing Sneddon syndrome: Always look skin deep!!
title_short Misdiagnosing Sneddon syndrome: Always look skin deep!!
title_sort misdiagnosing sneddon syndrome always look skin deep
topic antiphospholipid syndrome
infarcts
sneddon syndrome
url http://www.indianjrheumatol.com/article.asp?issn=0973-3698;year=2023;volume=18;issue=3;spage=227;epage=230;aulast=Kumar
work_keys_str_mv AT richakumar misdiagnosingsneddonsyndromealwayslookskindeep
AT mylavarapuharishkumar misdiagnosingsneddonsyndromealwayslookskindeep
AT abhyamgupta misdiagnosingsneddonsyndromealwayslookskindeep
AT brijeshnair misdiagnosingsneddonsyndromealwayslookskindeep