Accidente cerebrovascular embólico por endocarditis de Libman-Sacks como manifestación inicial de síndrome antifosfolípidos primario en una paciente de 17 años

• Alejandro González ^[1] ; Maximiliano Vergara ^[2] ; Ana Heredia ^[1] ; Leonidas Llanos ^[1] ; Fernando Araos ^[3]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
  2. [2] Hospital de Urgencia de Asistencia Pública UDA
  3. [3] Hospital Dr. Sótero del Río

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 141, Nº. 9, 2013, págs. 1206-1210
• Idioma: español
• Títulos paralelos:
  • Libman-Sacks endocarditis associated with antiphospholipid syndrome. Report of one case
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• Resumen

  • Libman-Sacks endocarditis is a non-infectious valvular damage associated with autoimmune disorders such as Systemic Lupus Erythematosus and Antiphospholipid Syndrome. We report a 17-year-old female consulting in the emergency room due to a right hemiparesis and aphasia. A magnetic resonance imaging showed multiple infarctions in the territory of the left middle cerebral artery, presumably of embolic origin. A trans-esophageal echocardiogram showed a vegetation in the mitral valve. Blood cultures were negative. Antinuclear antibodies and serological tests for antiphospholipid syndrome were positive. Oral anticoagulation was started and the patient was discharged. After six months of follow up, antiphospholipid antibodies are still positive.