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

F

32

SLE

Thrombosis deep dermal, subclavian vein  thrombosis, abortion, thrombocytopenia,   TMHA

Post-abortion

                               No

Renal

M

43

Lupus-like

 

 

Yes

 ARDS

F

22

Lupus- like

DVT

 

No

 Neurologic

F

22

SLE

 

 

Yes

 Neurologic

5  1ºst

M

40

PAPS

Myocardial infarction, parietal infarction

 

No

 Neurologic

5  2ºnd

 

42

 

 

 

 

 

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

DVT, PE,                                             peripheral artery thrombosys

 

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

DVT, PE

 

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

DVT, PE, atrium thrombi

 

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

DVTPE

 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

DVT,MI,hypertension,  Leriche´s   syndrome, carotid artery stenosis 

 

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