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Abstract
Intermittent claudication and limb-threatening ischemia caused by occlusion of large
and medium-sized arteries are rare manifestations of systemic lupus erythematosus.
So far only eight documented cases have been reported, predominantly in young women.
In this report two more patients are described. There is no common opinion concerning
pathophysiologic mechanism, but immunologic endothelial damage and circulating antibodies
to phospholipid probably play a role. The results of medical and surgical treatment
are disappointing, and amputation becomes necessary in more than half of the patients.
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References
- Thrombosis in systemic lupus erythematosus. Relation to the presence of circulating anticoagulants.Arch Intern Med. 1985; 145: 1389-1395
- Thrombosis in systemic lupus erythematosus: striking association with the presence of circulating lupus anticoagulant.Br Med J. 1983; 287: 1021-1023
- Manifestations thromboemboliques au cours du lupus erythemateux dissemine.Ann Med Interne. 1980; 131: 416-421
- Revised criteria for the classification of systemic lupus erythematous.Arthritis Rheum. 1982; 25: 1271-1277
- Lupus erythematosus.in: 2nd ed. University of Southern California Press, Los Angeles1974: 296-305
- Peripheral vascular syndromes associated with systemic lupus erythematosus.Ann Intern Med. 1965; 62: 907-919
- Gangrene as a manifestation of systemic lupus erythematosus.JAMA. 1962; 181: 366-374
- Aortic occlusion in systemic lupus erythematosus associated with antiphospholipid antibodies.Ann Rheum Dis. 1987; 46: 612-616
- Arterial occlusion causing large bowel infarction—a reflection of clotting diathesis in SLE.Clin Rheumatol. 1985; 5: 102-106
- Accidents ischemiques aigus aortique et mesenterique au cours d'un lupus erythemateux dissemine.in: 6th ed. Semin Hop Paris. 42. 1966: 2424-2429
- Subclavian artery thrombosis mimicking the aortic arch syndrome in systemic lupus erythematosus.Arthritis Rheum. 1982; 25: 1501-1504
- Cardiovascular manifestations of systemic lupus erythematosus.Am Heart J. 1985; 110: 1257-1265
- Gangrene of the legs in disseminated lupus erythematosus.Br Med J. 1958; 1: 25-27
- Maladie thrombosante au cours d'un syndrome lupique revele par un oestroprogestatif.Ann Med Interne. 1971; 122: 1151-1154
- Peripheral ischaemia and collagen disease. Clinical manifestations, diagnosis and treatment.Arch Surg. 1972; 105: 313-318
- Gangrene of a foot secondary to systemic lupus erythematosus with large vessel vasculitis.J Rheumatol. 1979; 6: 549-553
- Lupus vasculitis with tibial artery thrombosis and gangrene.Arthritis Rheum. 1986; 29: 1291-1292
- Large vessel occlusion and gangrene in systemic lupus erythematosus and “lupus-like” disease. A report of six cases.J Rheumatol. 1986; 13: 740-747
- Role of immunologic arterial injury in atherogenesis.Thromb Haemost. 1978; 39: 304-311
- The clotting defect in SLE.Clin Rheum Dis. 1982; 8: 137-151
- Predisposing factors to thrombosis in systemic lupus erythematosus. Possible relation to endothelial cell damage.J Lab Clin Med. 1979; 94: 312-323
- Human blood platelet adhesion to artery subendothelium is mediated by factor VIII-Von Willebrand factor bound to subendothelium.Nature. 1979; 279: 636-638
- Fibrinolysis in systemic lupus erythematosus: effect of desamino d-arginine vasopressin infusion.Br J Rheumatol. 1987; 26: 262-266
- Indications of vascular endothelial cell dysfunction in systemic lupus erythematosus.Ann Rheum Dis. 1987; 46: 741-745
- “Lupus” anticoagulant and thrombosis. Possible role of inhibition of prostacyclin formation.Thromb Haemost. 1982; 48: 38-40
- Thromboembolism in patients with the “lupus”-type circulating anticoagulant.Arch Intern Med. 1984; 144: 510-515
- Arterial thrombotic manifestations in young women associated with the lupus anticoagulant.Clin Rheumatol. 1988; 7: 74-79
- Thrombosis in patients with the lupus anticoagulant.Ann Intern Med. 1980; 92: 156-159
- Anti-phospholipid antibodies.Clin Rheum Dis. 1985; 11: 591-609
- Coagulation and fibrinolysis in young female arteritis.Acta Med Scand. 1971; 190: 179-183
- Deficiency of plasma protein S, protein C, or antithrombin III and arterial thrombosis.Arteriosclerosis. 1987; 7: 456-462
- Acquired antithrombin III deficiency and thrombosis in the nephrotic syndrome.Am J Med. 1978; 65: 607-613
Article info
Publication history
Accepted:
December 2,
1988
Identification
Copyright
© 1989 Published by Elsevier Inc.