RECURRENT FETAL LOSS IN THE PRIMARY ANTIPHOSPHOLIPID SYNDROME (CASE REPORT)

Abstract

Summary The patient with primary antiphospholipid syndrome (PAPS), who had two out of three pregnancies with intrauterine premature fetus death, was observed. During the last gestation she had corporeal cesarean section, and alive premature girl was extracted. The diagnosis of PAPS was verified basing on relapsing thromboses, repeated premature fetus death and antiphosphilipid antibodies in absence of some autoimmune disease. The peculiarity of this case was late diagnosis of the syndrome, first two episodes of thromboses were not timely diagnosed (diagnoses were as follows: appendicitis, apoplexy of ovary). Only on the background of the third pregnancy the thrombotic genesis of abdominal syndrome was determined. The specter of intensive therapy was suggested which allowed to prevent the development of "catastrophic ” variant of PAPS developing and to keep the child alive.

Keywords

• antiphospholipid syndrome
• habitual abortion in pregnancy
• antiphospholipid antibodies