Lupus

January 1998, Volume 7, Issue 1, Pages 51 – 52

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Case Report
Recurrent cerebral infarctions in polyarteritis nodosa with circulating antiphospholipid antibodies and mitral valve disease

S Morelli1, C Perrone & M Paroli

Istituto di I Clinica Medica, Università ‘La Sapienza’, Roma, Italy    

1Correspondence: Dr S Morelli, Istituto I Clinica Medica, Policlinico Umberto I, Università ‘La Sapienza’, Viale del Policlinico 155, 00161 Roma, Italy.



Keywords
Polyarteritis nodosa;   antiphospholipid syndrome;   stroke;   mitral valve;   echocardiography

Abstract

A case of recurrent cerebral infarctions in a 42-year-old woman affected by polyarteritis nodosa and antiphospholipid syndrome is reported. Two-dimensional echocardiography revealed grossly thickened mitral valve leaflets, possibly related to the presence of antiphospholipid antibodies. Thus, an embolic source at mitral level is hypothesized.

Received 10 July 1997; Accepted 30 September 1997

© Macmillan Publishers Ltd 1997