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Published 12 May 2009
Cite this as: BMJ Case Reports 2009 [doi:10.1136/bcr.12.2008.1342]
Copyright © 2009 by the BMJ Publishing Group Ltd.

Unusual presentation of more common disease/injury

Multiple steno-obstructive vascular lesions and femoral superficial artery dissection in a young Caucasian male with antiphospholipid syndrome

Rosario Cianci1, Antonietta Gigante1, Biagio Barbano1, Alvaro Zaccaria2, Lelio Polidori1, Francesca Borghesi1, Ludovica Gasperini1, Domenico Di Donato1, Antonio Amoroso1

1 Sapienza, University of Rome, Viale dell’Università, 37, Rome, 00185, Italy
2 San Pietro Fatebenefratelli Hospital, Via Cassia, 600, Rome, 00185, Italy

Correspondence to:
Biagio Barbano, biagionet{at}hotmail.com

SUMMARY

A young Caucasian male was admitted for claudication intermittens, hyposphygmia on the right lower limb, high blood pressure and deterioration of renal function. Instrumental investigations documented right renal artery stenosis, multiple steno-obstructive manifestations of the splanchnic artery system, occlusion of the right external iliac artery and dissection of the left superficial femoral artery. The patient had not been previously diagnosed with antiphospholipid syndrome. Subsequently, the vascular lesions, because of his thrombophilic state, needed endovascular treatment and anticoagulant therapy.


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