A case of infantile de novo primary antiphospholipid syndrome revealed by a neonatal arterial ischemic stroke.

Abstract:

:The few cases of antiphospholipid syndrome that have been reported in neonates are believed to have resulted from a transplacental transfer of antiphospholipid antibodies. Here we report on a boy with a neonatal stroke revealing a de novo primary antiphospholipid, the mother being free of antiphospholipid antibodies. Other thrombosis risk factors included primiparity, gestational diabetes, macrosomia, polyglobulia, and lipoprotein(a) >30 mg/dL. Anti-cardiolipin and anti-β(2)-glycoprotein I persisted more than 2 years. Under aspirin therapy, the child did not exhibit recurrence of thrombotic events or symptoms of autoimmunity after a follow-up of 3 years. Our case indicates that clinicians should consider a second retesting for anticardiolipin antibodies and anti-β(2)-glycoprotein I antibodies, even when children and mother neonatal tests are negative.

journal_name

J Child Neurol

authors

Merlin E,Doré E,Chabrier S,Biard M,Marques-Verdier A,Stéphan JL

doi

10.1177/0883073811435238

subject

Has Abstract

pub_date

2012-10-01 00:00:00

pages

1340-2

issue

10

eissn

0883-0738

issn

1708-8283

pii

0883073811435238

journal_volume

27

pub_type

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