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Critical Care: Student/Resident Case Report Poster - Critical Care I |

Catastrophic Antiphospholipid Antibody Syndrome Presenting as Intraabdominal Abscess: An Unusual Case of Thrombotic Storm.

Katelyn Donohue, MD; Samuel Minkove, MD; Bethany Weiler, MD; Susan Shyu, MD
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University of Maryland Medical Center, Baltimore, MD


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):377A. doi:10.1016/j.chest.2016.08.390
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SESSION TITLE: Student/Resident Case Report Poster - Critical Care I

SESSION TYPE: Student/Resident Case Report Poster

PRESENTED ON: Tuesday, October 25, 2016 at 01:30 PM - 02:30 PM

INTRODUCTION: Catastrophic antiphospholipid antibody syndrome (CAPS) is a rare variant of antiphospholipid antibody syndrome (APL), occurring in less than 1% of APL cases, with an often perilous outcome. Triggered by trauma or infection, APL is a disease of microvascular thrombosis. Microvascular damage often occurs in the lungs, kidneys or skin. Rarely, patients with CAPS suffer thrombotic storm with large-vessel thrombosis of both arteries and veins in addition to microthrombi. Up to 25% of CAPS patients report gastrointestinal problems later in the disease course, but less than 1% of reported cases present with GI symptoms1. Below is an unusual case of a woman presenting with GI abscess from CAPS thrombotic storm.

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