Treatment Resistant Severe Digital Ischemia Associated with Antiphospholipid Syndrome in a Male Patient with Systemic Sclerosis
We report the case of a male patient with limited cutaneous systemic sclerosis (SSc) that was complicated with severe digital ischemia, resistant to medical treatment. Due to the lack of treatment response, further laboratory and imaging studies were conducted. Findings were compatible with antiphos...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Rheumatology |
| Online Access: | http://dx.doi.org/10.1155/2014/291382 |
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| author | Orhan Küçükşahin Aşkın Ateş Alexis K. Okoh Emre Kulahcioglu Murat Turgay Gülay Kınıklı |
| author_facet | Orhan Küçükşahin Aşkın Ateş Alexis K. Okoh Emre Kulahcioglu Murat Turgay Gülay Kınıklı |
| author_sort | Orhan Küçükşahin |
| collection | DOAJ |
| description | We report the case of a male patient with limited cutaneous systemic sclerosis (SSc) that was complicated with severe digital ischemia, resistant to medical treatment. Due to the lack of treatment response, further laboratory and imaging studies were conducted. Findings were compatible with antiphospholipid syndrome and oral warfarin was added to the treatment regimen. After successful anticoagulation no further recurrences of digital ischemia were seen. An underlying etiology in SSc patients with treatment resistant digital ischemic necrosis should be suspected for accompanying antiphospholipid syndrome (APS). |
| format | Article |
| id | doaj-art-c2328d62c1344d73b0ec905c8cbc841c |
| institution | OA Journals |
| issn | 2090-6889 2090-6897 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Rheumatology |
| spelling | doaj-art-c2328d62c1344d73b0ec905c8cbc841c2025-08-20T02:19:03ZengWileyCase Reports in Rheumatology2090-68892090-68972014-01-01201410.1155/2014/291382291382Treatment Resistant Severe Digital Ischemia Associated with Antiphospholipid Syndrome in a Male Patient with Systemic SclerosisOrhan Küçükşahin0Aşkın Ateş1Alexis K. Okoh2Emre Kulahcioglu3Murat Turgay4Gülay Kınıklı5Department of Rheumatology, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, TurkeyDepartment of Rheumatology, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, TurkeyDepartment of Internal Medicine, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, TurkeyDepartment of Internal Medicine, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, TurkeyDepartment of Internal Medicine, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, TurkeyDepartment of Rheumatology, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, TurkeyWe report the case of a male patient with limited cutaneous systemic sclerosis (SSc) that was complicated with severe digital ischemia, resistant to medical treatment. Due to the lack of treatment response, further laboratory and imaging studies were conducted. Findings were compatible with antiphospholipid syndrome and oral warfarin was added to the treatment regimen. After successful anticoagulation no further recurrences of digital ischemia were seen. An underlying etiology in SSc patients with treatment resistant digital ischemic necrosis should be suspected for accompanying antiphospholipid syndrome (APS).http://dx.doi.org/10.1155/2014/291382 |
| spellingShingle | Orhan Küçükşahin Aşkın Ateş Alexis K. Okoh Emre Kulahcioglu Murat Turgay Gülay Kınıklı Treatment Resistant Severe Digital Ischemia Associated with Antiphospholipid Syndrome in a Male Patient with Systemic Sclerosis Case Reports in Rheumatology |
| title | Treatment Resistant Severe Digital Ischemia Associated with Antiphospholipid Syndrome in a Male Patient with Systemic Sclerosis |
| title_full | Treatment Resistant Severe Digital Ischemia Associated with Antiphospholipid Syndrome in a Male Patient with Systemic Sclerosis |
| title_fullStr | Treatment Resistant Severe Digital Ischemia Associated with Antiphospholipid Syndrome in a Male Patient with Systemic Sclerosis |
| title_full_unstemmed | Treatment Resistant Severe Digital Ischemia Associated with Antiphospholipid Syndrome in a Male Patient with Systemic Sclerosis |
| title_short | Treatment Resistant Severe Digital Ischemia Associated with Antiphospholipid Syndrome in a Male Patient with Systemic Sclerosis |
| title_sort | treatment resistant severe digital ischemia associated with antiphospholipid syndrome in a male patient with systemic sclerosis |
| url | http://dx.doi.org/10.1155/2014/291382 |
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