AUB ScholarWorks

Liver infarction in a woman with systemic lupus erythematosus and secondary anti-phospholipid and HELLP syndrome

Show simple item record Sakhel K. Usta I.M. Hannoun A. Arayssi T. Nassar A.H.
dc.contributor.editor Oct-2006 2017-10-05T15:46:57Z 2017-10-05T15:46:57Z 2006
dc.identifier 10.1080/03009740600588343
dc.identifier.issn 03009742
dc.description.abstract We report a 39-year-old primigravida, a case of systemic lupus erythematosus (SLE) and secondary anti-phospholipid syndrome (APS) with a smooth antenatal course who delivered by caesarean for non-reassuring foetal heart rate. On day 2 postoperatively, she developed a sudden severe colicky upper abdominal pain with tachypnoea, dyspnoea, and tachycardia, and blood pressure (BP) reaching 150-95 mmHg. Computed tomography of the abdomen revealed lesions consistent with liver infarction. She developed haemolytic anaemia, elevated liver enzymes, and low platelets (HELLP syndrome); heparin and methylprednisolone were started. On day 3, BP normalized, respiratory symptoms improved but abdominal symptoms persisted. Methylprednisolone was increased to 80 mg-day on day 8 when she had significant clinical response and was discharged on day 16. This case emphasizes that a morbid clinical course including liver infarction should be anticipated in patients with SLE and APS complicated with HELLP syndrome. © 2006 Taylor and Francis.
dc.format.extent Pages: (405-408)
dc.language English
dc.publisher OSLO
dc.relation.ispartof Publication Name: Scandinavian Journal of Rheumatology; Publication Year: 2006; Volume: 35; no. 5; Pages: (405-408);
dc.source Scopus
dc.title Liver infarction in a woman with systemic lupus erythematosus and secondary anti-phospholipid and HELLP syndrome
dc.type Article
dc.contributor.affiliation Sakhel, K., Department of Obstetrics, American University of Beirut Medical Center, Beirut, Lebanon, Synergy Medical Education Alliance, Michigan State University, Saginaw, MI, United States
dc.contributor.affiliation Usta, I.M., Department of Obstetrics, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Hannoun, A., Department of Obstetrics, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Arayssi, T., Department of Internal Medicine, Division of Rheumatology, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.affiliation Nassar, A.H., Department of Obstetrics, American University of Beirut Medical Center, Beirut, Lebanon, Department of Obstetrics, American University of Beirut Medical Center, PO Box 113-6044-B36, Beirut, Lebanon
dc.contributor.authorAddress Sakhel, K.; Department of Obstetrics, American University of Beirut Medical Center, Beirut, Lebanon
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Obstetrics and Gynecology;
dc.contributor.authorDepartment Obstetrics and Gynecology
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Sakhel, K
dc.contributor.authorInitials Usta, IM
dc.contributor.authorInitials Hannoun, A
dc.contributor.authorInitials Arayssi, T
dc.contributor.authorInitials Nassar, AH
dc.contributor.authorReprintAddress Nassar, AH (reprint author), Amer Univ Beirut, Med Ctr, Dept Obstet and Gynecol, POB 113-6044-B36, Beirut, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited ABRAMSON SB, 1991, ANN INTERN MED, V114, P941; Amant F, 1997, LUPUS, V6, P552, DOI 10.1177-096120339700600615; Asherson RA, 2001, MEDICINE, V80, P355, DOI 10.1097-00005792-200111000-00002; Butkiewicz L, 2005, SCAND J RHEUMATOL, V34, P216, DOI 10.1080-03009740510018688; Fehr T, 2001, LUPUS, V10, P576, DOI 10.1191-096120301701549606; Kitchens CS, 1998, AM J MED, V104, P381, DOI 10.1016-S0002-9343(98)00061-8; Le Thi Huong D, 2005, ANN RHEUM DIS, V64, P273; Marai I, 2004, SCAND J RHEUMATOL, V33, P365, DOI 10.1080-03009740410010290; ORNSTEIN MH, 1994, J RHEUMATOL, V21, P1360; Pauzner R, 2003, J THROMB HAEMOST, V1, P1758, DOI 10.1046-j.1538-7836.2003.00253.x; Roberts G, 2003, LUPUS, V12, P251, DOI 10.1191-0961203303lu378xx; SIBAI BM, 1990, AM J OBSTET GYNECOL, V162, P311; Sinha J, 2002, J RHEUMATOL, V29, P195
dc.description.citedCount 4
dc.description.citedTotWOSCount 3
dc.description.citedWOSCount 3
dc.format.extentCount 4
dc.identifier.coden SJRHA
dc.identifier.pubmedID 17062444
dc.identifier.scopusID 33750170664
dc.publisher.address PO BOX 12 POSTHUSET, NO-0051 OSLO, NORWAY
dc.relation.ispartOfISOAbbr Scand. J. Rheumatol.
dc.relation.ispartOfIssue 5
dc.relation.ispartofPubTitle Scandinavian Journal of Rheumatology
dc.relation.ispartofPubTitleAbbr Scand. J. Rheumatol.
dc.relation.ispartOfVolume 35
dc.source.ID WOS:000241863200015
dc.type.publication Journal
dc.subject.otherChemCAS azathioprine, 446-86-6
dc.subject.otherChemCAS heparin, 37187-54-5, 8057-48-5, 8065-01-8, 9005-48-5
dc.subject.otherChemCAS methylprednisolone, 6923-42-8, 83-43-2
dc.subject.otherChemCAS prednisone, 53-03-2
dc.subject.otherChemCAS warfarin, 129-06-6, 2610-86-8, 3324-63-8, 5543-58-8, 81-81-2
dc.subject.otherChemCAS Anti-Inflammatory Agents
dc.subject.otherChemCAS Methylprednisolone, 83-43-2
dc.subject.otherIndex azathioprine
dc.subject.otherIndex heparin
dc.subject.otherIndex methylprednisolone
dc.subject.otherIndex prednisone
dc.subject.otherIndex warfarin
dc.subject.otherIndex adult
dc.subject.otherIndex antiphospholipid syndrome
dc.subject.otherIndex article
dc.subject.otherIndex case report
dc.subject.otherIndex cesarean section
dc.subject.otherIndex clinical feature
dc.subject.otherIndex colic
dc.subject.otherIndex computer assisted tomography
dc.subject.otherIndex deep vein thrombosis
dc.subject.otherIndex diagnostic imaging
dc.subject.otherIndex disease course
dc.subject.otherIndex dyspnea
dc.subject.otherIndex female
dc.subject.otherIndex HELLP syndrome
dc.subject.otherIndex hemolytic anemia
dc.subject.otherIndex human
dc.subject.otherIndex hypertension
dc.subject.otherIndex image analysis
dc.subject.otherIndex liver ischemia
dc.subject.otherIndex lung embolism
dc.subject.otherIndex priority journal
dc.subject.otherIndex respiratory tract disease
dc.subject.otherIndex symptom
dc.subject.otherIndex systemic lupus erythematosus
dc.subject.otherIndex tachycardia
dc.subject.otherIndex tachypnea
dc.subject.otherIndex thrombocytopenia
dc.subject.otherIndex upper abdominal pain
dc.subject.otherIndex Abdominal Pain
dc.subject.otherIndex Adult
dc.subject.otherIndex Anti-Inflammatory Agents
dc.subject.otherIndex Antiphospholipid Syndrome
dc.subject.otherIndex Female
dc.subject.otherIndex HELLP Syndrome
dc.subject.otherIndex Humans
dc.subject.otherIndex Infarction
dc.subject.otherIndex Liver
dc.subject.otherIndex Lupus Erythematosus, Systemic
dc.subject.otherIndex Methylprednisolone
dc.subject.otherIndex Pregnancy
dc.subject.otherIndex Pregnancy Complications
dc.subject.otherKeywordPlus NECROSIS
dc.subject.otherKeywordPlus ANTIBODIES
dc.subject.otherKeywordPlus PREGNANCY
dc.subject.otherKeywordPlus PATIENT
dc.subject.otherWOS Rheumatology

Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Search AUB ScholarWorks


My Account