N. Besbas et al., ASSOCIATION OF ANTIPHOSPHOLIPID ANTIBODIES WITH SYSTEMIC LUPUS-ERYTHEMATOSUS IN A CHILD PRESENTING WITH CHOREA - A CASE-REPORT, European journal of pediatrics, 153(12), 1994, pp. 891-893
A 16-year-old girl, diagnosed 1 year previously as having Sydenham cho
rea, was found to have systemic lupus erythematosus according to the A
merican Rheumatism Association criteria. She now presented with pulmon
ary emboli and renal involvement and responded to immunosuppressive an
d anticoagulant therapy. The high levels of anticardiolipin antibodies
returned to normal along with the clinical symptoms. Conclusion We su
ggest that anticardiolipin antibodies are relevant to the development
of chorea and thrombo-embolic complications and that these auto-antibo
dies should be sought for in similar cases.