[Cardiac tamponade and transient ischemia revealing a syndrome of primary antiphospholipid antibodies].
The authors report a case of echocardiographically confirmed cardiac tamponade, which required emergency pericardial aspiration, and a transient ischaemic attack revealing an underlying primary antiphospholipid antibody syndrome in a 29-year-old patient. The test for antiphospholipid antibodies was positive on 2 occasions (IgG > 91.41 micrograms/l). The diagnosis of systemic lupus erythematosus was eliminated. A favourable course was observed after 3 months of corticosteroids and platelet antiaggregants. Any case of cardiac tamponade or transient ischaemic attack with an unexplained aetiology in a young patient must suggest the diagnosis of antiphospholipid antibody syndrome.
Centre de Cardiologie, CHU Ibn Rochd, Casablanca, Maroc.
A
A
Bennis
S
S
Nafidi
M
M
Zahraoui
A
A
Tahiri
N
N
Chraibi
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D017152:Antibodies, Antiphospholipid / Q000032:analysis*; D002305:Cardiac Tamponade / Q000175:diagnosis*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D017202:Myocardial Ischemia / Q000175:diagnosis*; D010490:Pericardial Effusion / Q000000981:diagnostic imaging; D013577:Syndrome
D000305:Adrenal Cortex Hormones; D000894:Anti-Inflammatory Agents, Non-Steroidal; D017152:Antibodies, Antiphospholipid
Tamponnade cardiaque et accident ischémique transitoire révélant un syndrome des anticorps antiphospholipides primitif.