Bilateral Renal Infarction in a Teenage Patient: A Case of “Transient” Antiphospholipid Syndrome?
Shadwa Hassan
Department of Pediatrics, Staten Island University Hospital, Northwell Health, 475 Seaview Avenue, Staten Island, New York, 10305, USA
Diniece Barran
Department of Pediatrics, Staten Island University Hospital, Northwell Health, 475 Seaview Avenue, Staten Island, New York, 10305, USA
Eleny Romanos-Sirakis
Department of Pediatrics, Staten Island University Hospital, Northwell Health, 475 Seaview Avenue, Staten Island, New York, 10305, USA and Department of Pediatrics, Hofstra Northwell Medical School, Hempstead, NewYork, USA and Division of Hematology and Oncology, Department of Pediatrics, Staten Island, New York, USA
Richard Sidlow *
Department of Pediatrics, Staten Island University Hospital, Northwell Health, 475 Seaview Avenue, Staten Island, New York, 10305, USA and Department of Pediatrics, Hofstra Northwell Medical School, Hempstead, NewYork, USA
*Author to whom correspondence should be addressed.
Abstract
We present a case of abdominal pain in an 18-year-old-female which was ultimately diagnosed to be due to bilateral renal infarction. The etiology of this finding was determined to be a transient antiphospholipid syndrome, a rare but known cause of renal infarction in the pediatric age group, with seropositivity for lupus anticoagulant waning after three months in this patient. We review, in addition, the literature on antiphospholipid syndrome-induced renal infarction and its varied serological presentations.
Keywords: Antiphospholipid syndrome, renal infarction, abdominal pain, pediatric