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BRIEF REPORT
Year : 2018  |  Volume : 1  |  Issue : 2  |  Page : 96-98

Severe abdominal pain in an adolescent: More than what meets the eye!


1 Division of Pediatric Nephrology, Sheikh Khalifa Medical City, Abu Dhabi, UAE
2 Department of Pediatrics, Christian Medical College, Ludhiana, Punjab, India

Correspondence Address:
Dr Gurinder Kumar
Division of Pediatric Nephrology, Sheikh Khalifa Medical City, Abu Dhabi
UAE
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AJPN.AJPN_23_18

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Antiphospholipid syndrome (APLS) is a systemic autoimmune disorder characterized by venous or arterial thrombosis in the presence of persistent laboratory evidence of antiphospholipid antibodies. We report a case of a previously healthy, 14-year-old boy, who presented with abdominal pain and headache for one day. Magnetic resonance imaging of the brain revealed sinus venous thrombosis and multiple areas of arterial and venous infarction. Computed tomography of the abdomen showed smaller right kidney with multiple wedge-shaped non-enhancing cortical areas of renal infarction. A diagnosis of APLS was made following demonstration of antibodies to cardiolipin and beta-2 glycoprotein, and the child was managed conservatively with antihypertensive agents, anticoagulation, and immunosuppressants. Follow-up imaging after one year showed resolution of cerebral thrombosis and improvement in renal functions.


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