A clinical case report: stroke in a young patient with systemic lupus erythematosus on the background of secondary antiphospholipid syndrome

The article describes a clinical case report of young patient with ischemic stroke on the background antiphospholipid syndrome (APLS). uniqueness this lies in complex diagnostic search that we performed. On admission, had general cerebral, infectious and focal syndromes. We suspected encephalitis due to peculiarities onset disease results computed tomography. However, after lumbar puncture, diagnosis required careful differential diagnosis. performed an extensive search. Based clinical-laboratory, instrumental immunological data following final diagnosis: “Ischemic cardioembolic right middle cerebral artery pool (15.10.17) (ICD 11: 8B11.5). Acute period left pyramidal reflex insufficiency changes magnetic resonance imaging. Systemic lupus erythematous 4A40.0), subacute course, activity II, lesion skin (transient rash), kidneys (proteinuria, transient impaired renal function), lungs (bilateral pleurisy disorders). Secondary APLS 4A45) (Acute iliofemoral thrombosis, May 2017; chronic thrombosis inferior vena cava, iliac veins, positive IgG cardiolipin, beta 2 glycoproteins). Thus, have link thrombotic complications patients examine for antibody presence.