Evidence map›Paper›PMID 25630456›Full record

ArticleJournal of medical case reports2015

Primary antiphospholipid syndrome presenting as antiphospholipid syndrome nephropathy: a case report.

Rajitha Asanga Abeysekera, Abdul Wahid Mohomad Wazil, Nishantha Nanayakkara, Neelakanthi V I Ratnatunga, Kaushal Maithree Fernando, Jalitha Thinnarachchi

Abstract readCase Reports
In one paragraph

Article in Journal of medical case reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Rajitha Asanga AbeysekeraNephrology and Transplantation Unit, Teaching Hospital, No, 532/6 Siebel Place, Kandy 20000, Sri Lanka. rajithaasa55@gmail.com.
Abdul Wahid Mohomad Wazil
Nishantha Nanayakkara
Neelakanthi V I Ratnatunga
Kaushal Maithree Fernando
Jalitha Thinnarachchi

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPrimary antiphospholipid syndrome can be a difficult diagnosis in the absence of typical clinical features. We describe an unusual presentation of primary antiphospholipid syndrome mimicking vasculitis for which the only diagnostic clue on initial presentation was antiphospholipid syndrome nephropathy. CASE PRESENTATION: A 29-year-old Sri Lankan woman presented with features mimicking vasculitis with no obvious clinical features of antiphospholipid syndrome. Classical symptoms of antiphospholipid syndrome only appeared months later. A retrospective analysis showed that the only evidence of antiphospholipid syndrome at her first presentation was antiphospholipid syndrome nephropathy on her renal biopsy.

conclusionsA high degree of suspicion of antiphospholipid syndrome is needed when patients present with non-specific vasculitis features. It has a broad clinical impact as antiphospholipid syndrome can present to any clinician with rare manifestations such as nephropathy. This significantly adds to the advancement of knowledge as antiphospholipid syndrome nephropathy should be recognized as a true entity and considered as a classification criteria for antiphospholipid syndrome.

Indexed as

AdultAntibodies, AntiphospholipidAntiphospholipid SyndromeDiagnosis, DifferentialDisease ProgressionFemaleHumansKidneyRetrospective StudiesTreatment OutcomeVasculitisAntibodies, Antiphospholipid

Identifiers

PMID25630456
PMCPMC4406029

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.