title: An atypical presentation of antiphospholipid antibody syndrome.
abstract: Cutaneous manifestations in antiphospholipid antibody syndrome (APS) though common, are extremely diverse and it is important to know which dermatological finding should prompt consideration of antiphospholipid syndrome. The cutaneous manifestations of APS vary from livedo reticularis to cutaneous necrosis, and systemic involvement is invariably an accomplice in APS. Cutaneous ulcers with sharp margins can be seen in APS and they are usually seen on the legs. This case had an atypical presentation, as the initial presentation was painful necrotic ulcers over the legs, which resembled pyoderma gangrenosum and she had no systemic manifestations. There was no history of any arterial or venous thrombosis or any abortions. Antiphospholipid syndrome can be tricky to diagnose when cutaneous lesions are atypical. Nonetheless, it is very important to pin down this syndrome early due to its systemic complications.
authors.affiliation: Department of Dermatology, Father Muller Medical College Hospital, Mangalore, Karnataka, India.
authors.forename: Deepti
authors.initials: D
authors.lastname: D'souza
authors.affiliation: Department of Dermatology, Father Muller Medical College Hospital, Mangalore, Karnataka, India.
authors.forename: Sukumar
authors.initials: S
authors.lastname: Dandakeri
authors.affiliation: Department of Dermatology, Father Muller Medical College Hospital, Mangalore, Karnataka, India.
authors.forename: M Ramesh
authors.initials: MR
authors.lastname: Bhat
authors.affiliation: Department of Dermatology, Father Muller Medical College Hospital, Mangalore, Karnataka, India.
authors.forename: M K
authors.initials: MK
authors.lastname: Srinath
keywords: Anticardiolipin antibody; antiphospholipid antibody syndrome; pyoderma gangrenosum