the presentation and evaluation of a case of systemic lupus erythematosus and anthiphospholipid antibody syndrome with primary clinical manifestation of chorea

manifestation of chorea in patients with systemic lupus erythematosus (sle) and antiphospholipid antibody syndrome (apa synd.) is not common. moreover, primary presentation of the disease with chorea is rare and only few such cases are reported in literature in recent years. we report here the case of a 28 year old woman who was first seen at the age of 10 with clinical manifestations of chorea. later she developed deep vein thrombosis, thrombocytpenia, stroke, cardiac valve involvement and recurrent abortions. laboratory investigations confirmed the diagnosis of sle and the presence of antiphospholipid antibodies. we present this patient as a case of sle and antiphospholipid antibody syndrome with chorea being her primary clinical presentation