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I have managed lupus patient with anti-phospholipide syndrome who develop sudden headache?
The MRI was contraindicated because of metal implant
in management of thromboembolism like in pulmonary embolism
For thrombosis, perform full anticoagulation with intravenous or subcutaneous heparin followed by warfarin therapy.
When evident thromboembolism is there like Pulmonary embolism , DVT
Pulmonary embolism
stroke
arterial thrombosis
I had to give warfarin as a prophylactic to a patient with previous thrombosis attack and had positive titre of Lupus anticoagullant ab, and anti cardiolipin ab in anti phospholipid syndrome
Patient with antiphospholipid syndrome may be evaluated in an outpatient setting.
in primary antiphospholipid antibody and scondary antiphospholipid antibody (in SLE)syndrome.. positive antiboy othrwise in infections or other conditions is no indication
Immediate lifelong anti coagulation
When there is evidence of a blood clot
WHEN THEY DEVELOP THROMBOEMBOLISM
when they develop thrombosis
