Young Stroke Following Libman-Sacks Endocarditis associated with Systemic Lupus Erythematosus and Secondary Antiphospholipid Antibody Syndrome

Libman-Sacks Endocarditis (LSE) is a form of nonbacterial thrombotic endocarditis (NBTE) occurring in the set­ting hypercoagulable states like solid organ malignancies, systemic lupus erythematosus (SLE) and primary or secondary antiphospholipid antibody syndrome (APLS).LSE most characteristic cardiac manifestation SLE. Even though incidence clinically significant valve dysfunction embolic phenomenon low when it associated with APLS, risk for cerebrovascular events high. We present case 39-year-old female who admitted left sided ischemic stroke ultimately turned out to be having LSE SLE APLS. This will demonstrate importance high degree suspicion diagnosis its etiology evaluating young patient stroke.