We describe a patient with Primary Antiphospholipid Syndrome (PAPS) an
d severe thrombocytopenia with bleeding, in whom treatment with high d
ose steroids failed to maintain a sustained level of platelets followi
ng an initial short lived response. After several unsuccessful attempt
s with Danazol and aspirin combined with low dose steroids, the platel
ets count rose following the administration of chloroquine and low dos
e steroids and remained in the normal range even when steroids were ta
pered.