Article: Budd-Chiari syndrome, systemic lupus erythematosus, and secondary antiphospholipid antibody syndrome in pregnancy.
2005 Volume 106, Issue 5 Pt 2, Page(s) 1191–1194
Abstract: Background: Hypercoaguable states such as the antiphospholipid antibody syndrome may be associated with thromboses in any vascular bed.: Case: This case report demonstrates clinical manifestations of Budd-Chiari syndrome during pregnancy, diagnostic ... ...
Abstract | Background: Hypercoaguable states such as the antiphospholipid antibody syndrome may be associated with thromboses in any vascular bed. Case: This case report demonstrates clinical manifestations of Budd-Chiari syndrome during pregnancy, diagnostic dilemmas, and suggestions for prevention of serious thromboembolic complications. Conclusion: Patients with antiphospholipid antibody syndrome and previous thromboses in any vascular bed who are considering pregnancy should be considered candidates for full anticoagulation throughout the entirety of gestation and the puerperium. Anti-Xa levels may reflect inadequate dosing of low molecular weight heparin, particularly during the first trimester, and should be monitored frequently. In patients with suspected hepatic venous thrombosis, Doppler evaluation may be inadequate to establish the diagnosis. |
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MeSH term(s) | Adult ; Antibodies, Antiphospholipid/blood ; Antiphospholipid Syndrome/complications ; Antiphospholipid Syndrome/etiology ; Antiphospholipid Syndrome/immunology ; Budd-Chiari Syndrome/complications ; Budd-Chiari Syndrome/diagnosis ; Budd-Chiari Syndrome/drug therapy ; Cholecystectomy, Laparoscopic ; Combined Modality Therapy ; Enoxaparin/therapeutic use ; Female ; Fibrinolytic Agents/therapeutic use ; Humans ; Liver/enzymology ; Liver/pathology ; Liver Function Tests ; Lupus Erythematosus, Systemic/complications ; Pregnancy ; Pregnancy Complications, Cardiovascular/diagnosis ; Pregnancy Complications, Cardiovascular/drug therapy ; Pregnancy Complications, Cardiovascular/surgery ; Pregnancy Outcome |
Chemical Substances | Antibodies, Antiphospholipid ; Enoxaparin ; Fibrinolytic Agents |
Language | English |
Publishing date | 2005-11 |
Publishing country | United States |
Document type | Case Reports ; Journal Article |
ZDB-ID | 207330-4 |
ISSN | 1873-233X ; 0029-7844 |
ISSN (online) | 1873-233X |
ISSN | 0029-7844 |
DOI | 10.1097/01.AOG.0000164067.19282.8a |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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