THE "CAPS" REGISTRY-1
Table 1. Demographic and clinical characteristics of patients with catastrophic APS.
PATIENT No. |
SEX |
AGE* |
DIAGNOSIS |
PREVIOUS APS MANIFESTATIONS |
PRECIPITATING FACTOR |
CAPS AS FIRST APS MANIFESTATION
|
FIRST MANIFESTATION OF
CAPS
|
1
|
F
|
32
|
SLE
|
Thrombosis
deep dermal, subclavian vein thrombosis, abortion,
thrombocytopenia, TMHA
|
Post-abortion
|
No
|
Renal
|
2
|
M
|
43
|
Lupus-like
|
|
|
Yes
|
ARDS
|
3
|
F
|
22
|
Lupus- like
|
DVT
|
|
No
|
Neurologic
|
4
|
F
|
22
|
SLE
|
|
|
Yes
|
Neurologic
|
5
1ºst
|
M
|
40
|
PAPS
|
Myocardial infarction,
parietal infarction
|
|
No
|
Neurologic
|
5 2ºnd
|
|
42
|
|
|
|
|
|
6
|
F
|
22
|
SLE
|
|
Post-abortion
|
Yes
|
|
|
7 |
F |
13 |
SLE |
|
|
Yes
|
|
|
8 |
F |
37 |
SLE |
Digital ischemia. |
|
No |
Skin |
|
9 |
F |
33 |
SLE |
Fetal loss, thrombocytopenia |
Upper respiratory infection |
No |
|
|
10 |
M |
14 |
Lupus-like |
|
|
Yes |
Adrenal |
|
11 |
F |
23 |
PAPS |
|
|
Yes |
|
|
12 |
F |
25 |
PAPS |
Skin ulcers |
Hysterectomy |
No |
Bone |
|
13 |
M |
57 |
PAPS |
|
|
Yes |
Testicular |
14
|
F
|
11
|
SLE
|
|
Intestinal
infection
|
Yes
|
ARDS
|
|
15 |
M |
37 |
PAPS |
DVT(4), myocardial infarction, thrombocytopenia, hemolytic anemia |
Dental extraction & anticuagulation
withdrawal |
No |
|
|
16 |
F |
23 |
SLE |
|
ERCP |
Yes |
ARDS |
|
17 |
F |
49 |
SLE |
DVT, Thrombocytopenia, haemolityc anemia,
Addison |
Anticoagulation withdrawal |
No |
|
|
18 |
M |
46 |
PAPS |
|
|
Yes |
ARDS |
|
19 |
F |
34 |
RA |
|
|
Yes |
Cardiac |
|
20 |
F |
43 |
PAPS |
DVT, fetal losses |
|
No |
ARDS |
|
21 (1st) |
F |
68 |
PAPS |
Fetal losses |
|
No |
Neurologic |
|
(2nd) |
|
68 |
|
|
|
|
Neurologic |
|
22 |
F |
37 |
Lupus-like |
Fetal losses |
Dilatation & curettage |
No |
Preeclampsia-DIC |
|
23 |
F |
60 |
SLE |
DVT, TIA, Skin ulcers, LR |
|
No |
Pancreatic |
|
24 |
F |
39 |
SLE |
|
|
Yes |
|
|
25 |
F |
29 |
PAPS |
|
OC |
Yes |
|
|
26 |
M |
45 |
SLE |
DVT, PE,
Superior vena cava thrombosis |
|
No |
|
|
27 |
F |
32 |
PAPS |
|
|
Yes |
Pulmonary |
|
28 |
M |
55 |
PAPS |
CVA, myocardial infarction, mesenteric and splenic thrombosis |
|
No |
Pulmonary |
|
29 |
M |
50 |
PAPS |
|
|
No |
|
|
30 |
M |
53 |
PAPS |
DVT,PE, myocardial infarction, skin ulcers |
|
No |
|
|
31 |
F |
17 |
PAPS |
DVT |
Puerperium |
No |
Pulmonary |
|
32 |
M |
59 |
PAPS |
|
|
Yes |
Digital
ischemia |
|
33 |
F |
52 |
Lupus-like |
Fetal loss |
Thiazide |
No |
|
|
34 |
F |
22 |
PAPS |
Chorea |
|
No |
Neurologic |
|
35 |
F |
45 |
PAPS |
DVT,chorea, fetal loss |
|
No |
Neurologic |
|
36 |
F |
36 |
PAPS |
DVT |
|
No |
ARDS |
|
37 |
M |
39 |
PAPS |
Optic neuropathy |
|
No |
|
|
38 |
F |
46 |
PAPS |
Fetal loss, popliteal artery thrombosis |
|
No |
|
|
39 |
F |
38 |
SLE |
|
|
Yes |
|
|
40 |
F |
33 |
PAPS |
|
|
Yes |
Renal |
|
41 |
F |
35 |
PAPS |
Fetal loss,
femoral artery thrombosis, skin ulcers, digital necrosis |
|
No |
ARDS |
|
42 |
F |
28 |
PAPS |
DVT(3), PE |
|
No |
|
|
43 |
M |
47 |
PAPS |
|
|
Yes |
|
|
44 |
M |
22 |
PAPS |
Budd-Chiari syndrome |
|
No |
|
|
45 |
M |
56 |
PAPS |
DVT, PE |
|
No |
|
|
46 |
M |
55 |
Lupus-like |
DVT |
Captopril |
No
|
Digital
ischemia |
|
47 |
F |
52 |
SLE |
|
|
Yes |
Neurologic |
|
48 |
F |
37 |
SLE |
DVT, fetal losses, hemolytic
anemia |
|
No |
Skin |
|
49 |
F |
74 |
PAPS |
DVT, PE, LR, skin ulcers |
|
No |
Renal |
|
50 |
M |
45 |
PAPS |
DVT, PE, LR, Raynaud |
|
No |
|
|
51 |
F |
38 |
SLE |
|
Urinary infection |
Yes |
Abdominal |
|
52 |
F |
37 |
PAPS |
|
|
Yes |
Hepatic |
|
53 |
F |
36 |
Systemic sclerosis |
Abortion (2) |
|
No |
Digital
ischemia |
|
54 |
F |
58 |
PAPS |
DVT, migraine |
Leg ulcer infection |
No |
Neurologic |
|
55 |
F |
29 |
SLE |
|
sepsis |
Yes |
Skin |
|
56 |
F |
41 |
PAPS |
DVT, femoral artery thrombosis, thrombocytopenia |
Needle stick injury, angiography |
No |
Peripheral |
|
57 |
F |
60 |
PAPS |
|
Trauma |
Yes |
Cardiac |
|
58 |
F |
30 |
SLE |
|
Typhoid fever |
Yes |
Neurologic |
|
59 |
M |
37 |
PAPS |
|
Cholecystectomy |
Yes |
Hepatic |
|
60 |
F |
28 |
PAPS |
|
|
Yes |
Bone marrow |
|
61 |
F |
16 |
PAPS |
Perforated nasal septum, leg ulcers, thrombocytopenia |
|
No |
Neurologic, skin |
|
62 |
F |
48 |
PAPS |
DVT |
Cholectomy, sepsis |
No |
Intestinal |
|
63 |
M |
47 |
PAPS |
TIA, CVA, MI |
Lug ulcer infection |
No |
Skin |
|
64 |
M |
52 |
PAPS |
|
|
Yes |
Skin |
|
65 |
F |
38 |
SLE |
HELLP |
Cesarean section |
No |
Hepatic |
|
66 |
F |
22 |
PAPS |
Abortion (2), Raynaud |
|
No |
Skin |
|
67 |
M |
47 |
PAPS |
|
|
Yes |
Renal |
|
68 |
F |
33 |
SLE |
|
Uterus carcinoma |
Yes |
|
|
69 |
F |
28 |
SLE |
|
Pneumonia |
Yes |
ARDS |
|
70 (1st) |
F |
32 |
SLE |
DVT |
Anticoagulation withdrawal |
No |
Neurologic |
|
(2nd) |
|
40 |
|
|
Upper respiration infection |
No |
Renal |
|
(3rd) |
|
42 |
|
|
Upper respiration infection |
No |
Renal |
|
71 |
M |
42 |
Polychondritis |
Stenosis of both
common iliac arteries |
|
No |
Hepatic |
|
72 |
F |
42 |
SLE |
CVA, retinal artery thrombosis, fetal
loss, LR, thrombocytopenia |
|
No |
ARDS |
|
73 |
F |
28 |
Lupus-like |
|
Leg ulcer infection |
Yes |
Skin |
|
74 |
F |
16 |
PAPS |
|
Upper respiratory infection |
Yes |
|
|
75 |
F |
17 |
SLE |
|
Upper respiratory infection |
Yes |
|
|
76 |
F |
21 |
SLE |
|
Upper respiratory infection |
Yes |
|
|
77 |
F |
54 |
SLE |
|
Cutaneous & urinary
infection, abdominal surgery |
Yes |
|
|
78 |
F |
17 |
PAPS |
|
OC, sun exposure |
Yes |
|
|
79 |
F |
18 |
SLE |
|
|
Yes |
|
|
80 |
F |
18 |
SLE |
|
Upper respiratory infection |
Yes |
|
|
81 |
F |
23 |
SLE |
|
Gastrointestinal & cutaneous
infection |
Yes |
|
|
82 |
F |
26 |
SLE |
DVT |
Post-fetal loss |
No
|
ARDS |
|
83 (1st) |
F |
67 |
PAPS |
DVT |
|
No |
Renal |
|
(2nd ) |
|
71 |
|
|
Low INR |
No |
|
|
84 |
M |
61 |
PAPS |
PE, leg arterial insufficiency |
Anticoagulation withdrawal |
No |
Neurologic |
|
85 |
F |
36 |
PAPS |
DVT |
Anticoagulation withdrawal,pneumonia |
No |
Renal |
|
86 |
M |
60 |
PAPS |
Renal microangiopathy |
Low INR, lung biopsy (adenocarcinoma) |
No |
Skin |
|
87 |
F |
51 |
Lupus- like |
Abortion |
Urinary infection |
No |
Renal |
|
88 |
M |
41 |
PAPS |
|
Carcinoma |
Yes |
Neurologic |
|
89 |
F |
59 |
PAPS |
Recurrent leg arterial thrombosis, abortion (2) |
|
No |
Skin |
|
90 |
F |
48 |
Systemic sclerosis |
Digital ischemia |
|
No |
Skin |
|
91 |
F |
47 |
SLE |
|
|
No |
Pulmonary |
|
92 |
F |
44 |
SLE |
CVA,cerebralvenousthrombosis, DVT,digital ischemia,renal thrombosis |
|
No |
|
|
93 |
F |
19 |
SLE |
|
SLE flare |
Yes |
ARDS |
|
94 |
M |
18 |
SLE |
|
|
Yes |
|
|
95 |
F |
42 |
SLE |
thrombocytopenia, fetal loss, VL,
LR |
|
No |
Renal |
|
96 |
F |
45 |
PAPS |
|
Gastric adenocarcinoma |
Yes |
Neurologic |
|
97 |
F |
7 |
SLE |
|
|
Yes |
Neurologic |
|
98 |
F |
40 |
PAPS |
|
Lung adenocarcinoma |
Yes |
Neurologic |
|
99 |
F |
33 |
PAPS |
Abortion, superficial venous
thrombosis |
Pregnancy, cesarean section |
No |
ARDS |
|
100 |
F |
22 |
SLE |
|
Pregnancy, HELLP |
Yes |
|
|
101 |
F |
42 |
SLE |
|
|
Yes |
Abdominal |
|
102 |
F |
58 |
PAPS |
|
Upper respiratory infection |
Yes |
Renal |
|
103 |
M |
27 |
SLE |
|
Urinary infection |
yes
|
|
|
104 |
F |
28 |
SLE |
DVT, thrombocytopenia, CVA |
|
No |
ARDS |
|
105 |
F |
26 |
SLE |
DVT, thrombocytopenia, anemia hemolitic |
|
No |
Pulmonary |
|
106 |
F |
67 |
PAPS |
CVA, MI, LV,
skin ulcers. |
Urinary infection
|
No |
ARDS |
|
107 |
M |
64 |
Rheumatoid arthritis |
MI , thrombophebitis |
Respiratory & leg ulcer infection |
No |
Renal |
|
108 |
F |
20 |
PAPS |
|
Throat infection |
Yes
|
|
|
109 |
F |
47 |
PAPS |
DVT |
Infection |
No |
Pulmonary |
|
110 |
F |
22 |
SLE |
Abortion |
Infection ,HELLP |
No
|
Renal |
|
111 |
M |
27 |
PAPS |
DVT, PE |
Anticoagulation withdrawal |
No |
Hepatic |
|
112 |
F |
51 |
SLE |
CVA, Libman-sacks |
Upper respiratory infection |
No |
Abdominal |
|
113 |
M |
35 |
PAPS |
|
|
No |
Abdominal |
|
114 |
F |
53 |
PAPS |
|
|
Yes |
NR |
|
115 |
M |
41 |
SLE |
Gangrene of toe, leg ulcer, thrombocytopenia, hemolitic
anemia |
|
No |
Abdominal |
|
116 |
F |
35 |
SLE |
Still birth(24wk) with infracted placenta, digital ischemia |
SLE flare |
No |
Abdominal |
|
117 |
M |
30 |
PAPS |
|
Trauma |
Yes |
Hypertension |
|
118 |
M |
38 |
Ulcerative colitis |
Thromocytopenia, abortions |
Cholangiocarcinoma |
No |
|
|
119 |
F |
25 |
SLE |
|
Viral infection |
Yes |
|
|
120 |
F |
23 |
PAPS |
|
OC |
Yes |
|
|
121 |
F |
27 |
PAPS |
DVT, fetal loss |
Post-fetal loss |
No |
|
|
122 |
F |
69 |
Lupus- like |
|
Limphoma |
Yes |
|
|
123 |
F |
34 |
Lupus- like |
|
Pelvic surgery for benign ovarian mass |
Yes |
|
|
124 |
M |
36 |
SLE |
|
SLE flare |
Yes |
|
|
125 |
F |
39 |
Lupus- like |
Amauroxis fugax, TIA, toe ulceration, LR, fetal loss |
|
No |
|
|
126 |
F |
43 |
SLE |
|
SLE flare, respiratory tract infection |
Yes |
|
|
127 |
F |
49 |
SLE |
|
Major abdominal surgery, suspected cholangitis |
Yes |
|
|
128 |
F |
32 |
SLE |
DVT |
Abdominal surgery for reconstruction of colon previous colectomy |
No |
|
|
129 |
F |
26 |
SLE |
LR, skin ulcers |
|
No |
|
|
130 |
F |
25 |
SLE |
Thrombocytopenia, LR |
|
No |
|
|
131 |
F |
47 |
SLE |
|
SLEflare,Anticoagulation
withdrawal |
No |
Pulmonary |
|
132 |
M |
39 |
PAPS |
Digital
ulcer |
|
No |
ARDS |
|
133 |
F |
28 |
PAPS |
|
|
Yes |
Neurologic |
|
134 |
F |
21 |
PAPS |
DVT |
A-V Shunt surgery |
No |
|
|
135 |
M |
29 |
SLE |
MI,CVA,thrombocytopenia,LR, digital ulcers, thrombosis of
the inferior & superior
mesenteric artery |
Repair ileostomy & Colostomy |
No |
Abdominal |
|
136 |
F |
37 |
SLE |
Fetal loss, LR,
Thrombocytopenia |
Renal failure |
No |
Renal |
|
137 |
M |
66 |
Ulcerative colitis |
|
|
Yes |
Malignant hypertension |
|
138 |
F |
67 |
Dermatomyositis |
|
|
Yes |
Cardiac |
|
139 |
F |
32 |
PAPS |
|
|
Yes |
Cardiac |
|
140 |
F |
62 |
Rheumatoid arthritis |
|
|
Yes |
|
|
141 |
F |
49 |
Rheumatoid arthritis |
CVA (2) PE, MI, hepatic infarctin |
Hysterectomy |
No |
Renal |
|
142 |
F |
35 |
SLE |
Raynaud, LR, PE,
abortion, finger tips ulcers, thrombocytopenia |
Anticoagulation withdrawal |
No |
Skin |
|
143 |
F |
46 |
SLE |
|
|
Yes |
Neurologic |
|
144 |
M |
54 |
PAPS |
|
|
Yes |
|
|
145 |
M |
37 |
PAPS |
|
|
No |
|
|
146 |
M |
33 |
SLE |
Thrombocytopenia, PE |
Danazol |
No |
Neurologic |
|
147 |
M |
68 |
PAPS |
|
|
Yes |
Cardiac |
|
148 |
F |
33 |
PAPS |
|
OC |
Yes |
|
|
149 |
F |
18 |
SLE |
Thrombocytopenia |
Respiratory infection |
No |
|
|
150 |
F |
42 |
SLE |
|
Urinary infection |
Yes |
|
|
151 |
F |
47 |
PAPS |
epilepsy, stroke |
|
No |
|
|
152 |
M |
40 |
PAPS |
epilepsy, thrombocytopenia, leg ulcer, Libman-Sachs |
Anticoagulation withdrawal |
No |
|
|
153 |
F |
24 |
SLE |
hemolytic anemia, livedo reticularis, thrombocytopenia, diplopia |
infection |
No |
|
|
154 |
F |
34 |
SLE |
|
Dental infection, facial cellulitis |
Yes |
|
|
155 |
F |
40 |
Discoid lupus |
|
|
Yes |
|
|
156 |
F |
43 |
SLE |
CVA (3) |
Treatment of breast cancer |
No |
Neurologic |
|
157 |
F |
61 |
PAPS |
CVA |
Adenocarcinoma
in colon |
No |
Peripheral |
|
158 |
M |
55 |
PAPS |
DVT, postphlebitic syndrome |
ACE inhibitor introduction (VCE alteration) |
No |
Peripheral |
|
159 |
F |
36 |
PAPS |
Fetal loss (2),
DVT, skin ulcer |
|
No |
Ocular
|
|
160 |
M |
39 |
PAPS |
|
|
Yes |
Renal |
|
161 |
F |
33 |
PAPS |
Abortion |
Ovulation induction |
No |
|
|
162 |
M |
47 |
PAPS |
|
Blunt abdominal trauma
|
Yes |
|
|
163 |
F |
38 |
PAPS |
Thrombocytopenia, Psychiatric features |
|
Yes |
Pulmonary |
|
164 |
F |
14 |
SLE |
|
|
Yes |
Renal |
|
165 |
M |
29 |
SLE |
MI, thrombocytopenia,
CVA, PE, avascular
necrosis |
Bowel surgery and withdrawal of anticoagulation |
No |
Abdominal |
|
166 |
M |
37 |
Behçet |
Central
retina vein thrombosis |
|
No |
Cardiac |
|
167 |
F |
66 |
PAPS |
|
Surgery |
Yes |
Hepatic |
|
168 |
M |
50 |
PAPS |
|
Primary lung cancer |
Yes |
|
|
169 |
F |
37 |
SLE |
Fetal loss (2),
splinter hemorrhage, LR |
|
No |
Renal |
|
170 |
M |
63 |
Lupus like |
|
Surgery |
Yes |
Neurologic |
|
171 |
M |
38 |
PAPS |
|
|
Yes |
|
|
172 |
F |
38 |
PAPS |
CVA, epilepsy, LR, retinal thrombosis, peripheral artery thrombosis |
|
No |
|
|
173 |
F |
28 |
SLE |
abortin,
thrombocytopenia |
Oral contraceptives |
No |
Cardiac |
|
|