A case of the primary antiphospholipid syndrome (PAPS) in a 21-year-ol
d Jamaican female is described. Recurrent abortions, thrombocytopenia
and neurological complications as well as lupus anticoagulant positivi
ty in the absence of features of systemic lupus erythematosus (SLE) we
re the main clinical findings. Diagnostic criteria, treatment and prog
nosis are discussed When the antiphospholipid syndrome (APS) is presen
t in the primary form, the diagnosis may be difficult but its recognit
ion may prevent those vascular events which can lead to significant mo
rbidity and foetal wastage.