Systemic lupus erythematosus presenting as unprovoked brachio-cephalic vein thrombosis: A case report

Systemic lupus erythematosus (SLE) is an autoimmune disease with multisystem involvement, and majorly affects the female population of the childbearing age. Vascular thrombosis is a known complication in the natural disease course, but the thrombotic event as the initial presentation of SLE is rarel...

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Main Authors: Gautam Jesrani, Samiksha Gupta, Shivani Gupta, Tagru Raju, Monica Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Dr. NTR University of Health Sciences
Subjects:
Online Access:http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2022;volume=11;issue=1;spage=89;epage=93;aulast=Jesrani
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author Gautam Jesrani
Samiksha Gupta
Shivani Gupta
Tagru Raju
Monica Gupta
author_facet Gautam Jesrani
Samiksha Gupta
Shivani Gupta
Tagru Raju
Monica Gupta
author_sort Gautam Jesrani
collection DOAJ
description Systemic lupus erythematosus (SLE) is an autoimmune disease with multisystem involvement, and majorly affects the female population of the childbearing age. Vascular thrombosis is a known complication in the natural disease course, but the thrombotic event as the initial presentation of SLE is rarely depicted, especially for the thoracic vasculature. Herein, we are narrating a case of a 38-year-old gentleman, who previously suffered from myocardial infarction, due to left coronary artery occlusion and this time presented with left brachiocephalic vein thrombosis. On evaluation, SLE was diagnosed, without antiphospholipid syndrome, and a standard treatment of anticoagulant with hydroxychloroquine was prescribed for this. This report illustrates that an unusual vascular location can be involved in SLE and reemphasizes that a thorough immunological work-up should be performed promptly in the absence of any identified etiology.
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spelling doaj.art-a7dead55979c47fa9ef9ee6363cdd6fc2022-12-22T00:32:48ZengWolters Kluwer Medknow PublicationsJournal of Dr. NTR University of Health Sciences2277-86322022-01-01111899310.4103/jdrntruhs.jdrntruhs_129_21Systemic lupus erythematosus presenting as unprovoked brachio-cephalic vein thrombosis: A case reportGautam JesraniSamiksha GuptaShivani GuptaTagru RajuMonica GuptaSystemic lupus erythematosus (SLE) is an autoimmune disease with multisystem involvement, and majorly affects the female population of the childbearing age. Vascular thrombosis is a known complication in the natural disease course, but the thrombotic event as the initial presentation of SLE is rarely depicted, especially for the thoracic vasculature. Herein, we are narrating a case of a 38-year-old gentleman, who previously suffered from myocardial infarction, due to left coronary artery occlusion and this time presented with left brachiocephalic vein thrombosis. On evaluation, SLE was diagnosed, without antiphospholipid syndrome, and a standard treatment of anticoagulant with hydroxychloroquine was prescribed for this. This report illustrates that an unusual vascular location can be involved in SLE and reemphasizes that a thorough immunological work-up should be performed promptly in the absence of any identified etiology.http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2022;volume=11;issue=1;spage=89;epage=93;aulast=Jesranianti-phospholipid syndromebrachiocephalic vein thrombosiscoronary artery occlusionsystemic lupus erythematosusvenous thrombosis
spellingShingle Gautam Jesrani
Samiksha Gupta
Shivani Gupta
Tagru Raju
Monica Gupta
Systemic lupus erythematosus presenting as unprovoked brachio-cephalic vein thrombosis: A case report
Journal of Dr. NTR University of Health Sciences
anti-phospholipid syndrome
brachiocephalic vein thrombosis
coronary artery occlusion
systemic lupus erythematosus
venous thrombosis
title Systemic lupus erythematosus presenting as unprovoked brachio-cephalic vein thrombosis: A case report
title_full Systemic lupus erythematosus presenting as unprovoked brachio-cephalic vein thrombosis: A case report
title_fullStr Systemic lupus erythematosus presenting as unprovoked brachio-cephalic vein thrombosis: A case report
title_full_unstemmed Systemic lupus erythematosus presenting as unprovoked brachio-cephalic vein thrombosis: A case report
title_short Systemic lupus erythematosus presenting as unprovoked brachio-cephalic vein thrombosis: A case report
title_sort systemic lupus erythematosus presenting as unprovoked brachio cephalic vein thrombosis a case report
topic anti-phospholipid syndrome
brachiocephalic vein thrombosis
coronary artery occlusion
systemic lupus erythematosus
venous thrombosis
url http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2022;volume=11;issue=1;spage=89;epage=93;aulast=Jesrani
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