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Updated: May 26, 2026

Comprehensive Analysis of Procoagulant Platelets Exhibiting Features of Necrosis, Apoptosis and Platelet Activation
Published on: May 23, 2025
[Catastrophic primary antiphospholipid syndrome]
Paula Casanova1, João P Baptista, Maria J Andrade
1Serviços de Medicina Intensiva e Anatomia Patológica, Hospitais da Universidade de Coimbra, Coimbra.
Abstract:
Catastrophic antiphospholipid syndrome develops in a minority of patients with antiphospholipid syndrome, and is characterized by acute thrombotic microvasculopathy with multiorganic involvement (three or more organs). The aetiology is unknown, the diagnosis is complex, and the treatment is empiric, mortality may approach 50%. The authors present a clinical case of catastrophic antiphospholipid syndrome, diagnosed in a patient with abdominal pain and severe respiratory failure.
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