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Sneddon's syndrome with anticardiolipin antibodies--complications and treatment
B P Lotz1, C M Schutte, P F Colin
1Department of Neurology, University of Pretoria.
Insights
Sneddon's syndrome, a rare disorder, involves blood clots and organ damage. Early treatment with immunosuppressants and anticoagulants can prevent severe complications like stroke and improve kidney function.
Area of Science:
- Neurology
- Rheumatology
- Cardiology
Background:
- Sneddon's syndrome is a rare, chronic condition characterized by non-inflammatory occlusive hydrocephalus and multiple neurological events.
- Anticardiolipin antibodies are associated with an increased risk of thrombosis and pregnancy complications.
Observation:
- Two patients with Sneddon's syndrome presented with elevated anticardiolipin antibodies.
- Systemic complications included stroke, recurrent pregnancy loss, cardiac valvular disease, acrocyanosis, hypertension, and renal insufficiency.
Findings:
- Treatment with a combination of immunosuppressive agents and anticoagulants (warfarin or aspirin) was initiated.
- This therapeutic approach prevented further systemic complications and led to improved renal function in both patients.
Implications:
- Sneddon's syndrome, despite its rarity, is a potentially treatable condition requiring multidisciplinary awareness.
- Early diagnosis and management are crucial for preventing severe systemic morbidity and improving patient outcomes.
Abstract:
We investigated 2 patients with Sneddon's syndrome, elevated anticardiolipin antibodies and systemic complications, which included stroke, habitual abortions, cardiac valvular lesions, acrocyanosis, hypertension and renal insufficiency. Treatment with a combination of immunosuppressive agents and warfarin or aspirin prevented further complications and improved renal function. It is important for those in different specialties to be aware of this potentially treatable disorder.
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