TEACHING CASE REPORT - Bone infarcts in a woman with SLE and APS

[Guest guest]

CMAJ . February 14, 2006; 174 (4). doi:10.1503/cmaj.050801.

© 2006 CMA Media Inc. or its licensors

--------------------------------------------------------------------------

Teaching Case Report

Bone infarcts in a woman with systemic lupus erythematosus and

antiphospholipid antibody syndrome

Soumya Chatterjee

Department of Rheumatic and Immunologic Diseases, The Cleveland Clinic

Foundation, Cleveland, Ohio

The Case: A 48-year-old woman with systemic lupus erythematosus (SLE)

diagnosed more than 20 years ago presented to our clinic with a history of

generalized pain, profound fatigue, oral ulcers, dry eyes and mouth, and

hair loss. She complained of severe pain in her fingers, wrists, knees, hips

and ankles. She also reported significant morning stiffness and muscle

soreness. In the past, she had had immune thrombocytopenic purpura, several

deep venous thromboses and an episode of pulmonary embolism. She was taking

warfarin (2.5 mg daily), hydroxychloroquine (200 mg twice daily),

acetaminophen-propoxyphene combination therapy as required for pain, and

prednisone (5 mg/d).

Full article:

http://www.cmaj.ca/cgi/content/full/174/4/455

Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

http://www.mayoclinic.org/rochester

s Hopkins Medicine

http://www.hopkinsmedicine.org