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Treatment resistant severe digital ischemia associated with antiphospholipid syndrome in a male patient with systemic
Orhan Küçükşahin1, Aşkın Ateş1, Alexis K Okoh2
1Department of Rheumatology, Ankara University Medical Faculty, Sihhiye, 06410 Ankara, Turkey.
Abstract:
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).
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