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Antiphospholipid syndrome presenting as treatment resistant bipolar disorder and thrombocytopenia in a young male.

Abstract：

:Antiphospholipid syndrome (APS), an autoantibody mediated disease, is characterized by presence of antibodies against the proteins bound to the phospholipid membranes. The antibodies are predominantly formed against beta-2-glycoprotein I (b2GPI) which is considered pathogenic, but presence of lupus anticoagulant is a predictor of thrombotic events. The thrombotic events in APS may manifest as venous or arterial or small vessel thrombosis in any tissue or organ and pregnancy related complications namely, recurrent (three or more) and early spontaneous miscarriages before 10 weeks of gestation or unexplained deaths of normal fetus at or beyond 10 weeks, eclampsia or severe pre-eclampsia, intra-uterine growth retardation and pre-term births. However, lately its role as an etiological mechanism in causation of certain neuro-psychiatric disorders has been put forth. It has been suggested that one should suspect APS in psychiatric manifestations which are atypical, resistant to treatment, associated with cognitive decline and dementia, abnormal involuntary movements, livedo reticularis, migraine, thrombotic events like stroke or transient ischemic attacks, obstetrical complications. In this brief communication, we describe the case of young male who has been suffering from treatment resistant and difficult to manage bipolar affective disorder (BPAD) with fluctuating thrombocytopenia and neurological findings with positive lupus anticoagulant. We propose it to be a consequence of an atypical presentation of APS.

journal_name

J Neuroimmunol

journal_title

Journal of neuroimmunology

authors

Aneja J,Kuppili PP,Paul K,Panda S,Purohit A

doi

10.1016/j.jneuroim.2020.577238

subject

Has Abstract

pub_date

2020-06-15 00:00:00

pages

577238

eissn

0165-5728

issn

1872-8421

pii

S0165-5728(20)30081-3

journal_volume

343

pub_type

杂志文章

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