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J Nephropathol. 2013 Jan;2(1):81-4. doi: 10.5812/nephropathol.9001. Epub 2013 Jan 1.

Antiphospholipid syndrome: A disease of protean face.

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Chronic Kidney Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Pathology, Tabriz University of Medical Sciences, Tabriz, Iran.



Antiphospholipid syndrome (APS) is a systemic disorder characterizes by recurrent arterial and venous thrombosis and/or pregnancy miscarriages and positive test for antiphospholipid antibodies.


Here we report a 31 year-old female whose main complain was symmetrical motor polyneuropathy and hand muscular weakness over a long period of time. Her clinical picture became more complex by Mitral valve regurgitation and renal dysfunction. Finally with the diagnosis of APS glucocorticoid therapy was started and her renal dysfunction improved profoundly, however her cardiac valvular involvement and peripheral neuropathy remained.


APS is a disease with wide clinical presentations and it continues to confound the clinicians.


Antiphospholipid antibody syndrome; Motor polyneuropathy; Nephropathy; Venous thrombosis

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