国际医药卫生导报 ›› 2025, Vol. 31 ›› Issue (2): 318-322.DOI: 10.3760/cma.j.cn441417-20240801-02029

• 病例报告 • 上一篇    下一篇

重叠综合征合并脑梗死1例

闫绚韬  任洁   

  1. 暨南大学附属第一医院风湿免疫科,广州  510630

  • 收稿日期:2024-08-01 出版日期:2025-01-15 发布日期:2025-01-20
  • 通讯作者: 任洁,Email:41607951@qq.com
  • 基金资助:

    广州市基础研究计划基础与应用研究项目(202101010046)

One case of overlap syndrome complicated with cerebral infarction

Yan Xuantao, Ren Jie   

  1. Department of Rheumatology and Immunology, First Hospital, Jinan University, Guangzhou 510630, China

  • Received:2024-08-01 Online:2025-01-15 Published:2025-01-20
  • Contact: Ren Jie, Email: 41607951@qq.com
  • Supported by:

    Basic and Applied Research Project of Basic Research Program in Guangzhou (202101010046)

摘要:

本文报道1例新发重叠综合征患者,其心磷脂抗体、狼疮抗凝物检查均为阴性,在口服利伐沙班抗凝治疗期间,1个月内突发3次脑梗死(同一根脑血管不同部位),目前仍在外院接受相关治疗。提示,当临床医生遇到临床症状高度疑似抗磷脂抗体综合征,但抗心磷脂抗体、狼疮抗凝物均为阴性时,仍应积极外送寻找非标准外抗体,并进行遗传性易栓症的筛查。

关键词:

重叠综合征, 脑梗死, 系统性红斑狼疮, 狼疮性肾炎

Abstract:

This article reports one patient with newly diagnosed overlap syndrome whose cardiolipin antibodies and lupus anticoagulants were negative. During the patient's oral rivaroxaban anticoagulant treatment, he had cerebral infarction three times (in different parts of the same cerebral blood vessel) within one month. The patient is currently receiving relevant treatment in another hospital. This tells us that when clinicians encounter patients with clinical symptoms that are highly suspected of antiphospholipid antibody syndrome, but their antiphospholipid antibodies and lupus anticoagulants are negative, they should still actively search for non-standard antibodies and screen for hereditary thrombophilia.

Key words:

Overlap syndrome, Cerebral  , infarction, Systemic lupus erythematosus, Lupus nephritis