Аннотация:
Background. Catastrophic antiphospholipid syndrome (CAPS) is the most severe form of antiphospholipid syndrome (APS) that manifests itself as multiple microthromboses in the microcirculatory bed of vital organs and as evolving multiple organ dysfunction in the presence of high titers of antiphospholipid antibodies (APA). CAPS is a life-threatening condition and requires emergency treatment. Unfortunately, the optimal treatment of CAPS has not been developed. A case report. Below is given a case of CAPS in a pregnant woman with complicated pregnancy and an elevated APA level. The patient has been under the authors’ scrutiny for subsequent 2 years. The authors observed her next pregnancy that was uneventful during anticoagulant therapy under constant control of the hemostatic system. Her pregnancy lasted 39 weeks and resulted in a natural delivery and the birth of a full-term living fetus. Conclusion. The emergence of obstetric complications in female patients with APS is always suspicio
Хизроева Д. Х. Джамиля Хизриевна 1973-
Бицадзе В. О. Виктория Омаровна 1970-
Макацария А. Д. Александр Давидович 1944-
Стюлёва Н. С.
Khizroeva D. Kh. Dzhamilya Khizrievna 1973-
Bitsadze V. O. Viktoriya Omarovna 1970-
Makatsariya A. D. Aleksandr Davidovich 1944-
Stulyova N. S.
Catastrophic antiphospholipid syndrome during pregnancy
Текст визуальный непосредственный
Акушерство и гинекология
Бионика Медиа
Вып. 7 С. 155-160
2017
Статья
Antiphospholipid syndrome Catastrophic antiphospholipid syndrome Rare disease Thrombotic storm
Background. Catastrophic antiphospholipid syndrome (CAPS) is the most severe form of antiphospholipid syndrome (APS) that manifests itself as multiple microthromboses in the microcirculatory bed of vital organs and as evolving multiple organ dysfunction in the presence of high titers of antiphospholipid antibodies (APA). CAPS is a life-threatening condition and requires emergency treatment. Unfortunately, the optimal treatment of CAPS has not been developed. A case report. Below is given a case of CAPS in a pregnant woman with complicated pregnancy and an elevated APA level. The patient has been under the authors’ scrutiny for subsequent 2 years. The authors observed her next pregnancy that was uneventful during anticoagulant therapy under constant control of the hemostatic system. Her pregnancy lasted 39 weeks and resulted in a natural delivery and the birth of a full-term living fetus. Conclusion. The emergence of obstetric complications in female patients with APS is always suspicio