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Rheumatology 2001; 40: 585-587
© 2001 British Society for Rheumatology

Paediatric Rheumatology

Diffuse muscular haemorrhage as presenting sign of juvenile systemic lupus erythematosus and lupus anticoagulant hypoprothrombinaemia syndrome

Paediatric Rheumatology/Series Editor: P. Woo

J. R. Yacobovich, Y. Uziel, Z. Friedman1, J. Radnay1 and B. Wolach

Department of Pediatrics and
1 Coagulation–Hematology Laboratory, Sapir Medical Center, Kfar Saba, Israel

Abstract

Lupus anticoagulants are closely related to systemic lupus erythemathosus (SLE) and to thrombotic events. We describe a 12 year-old girl with a bilateral intramuscular haemorrhage of the gastrocnemius muscles as her main initial presentation of juvenile SLE. Laboratory work-up revealed lupus anticoagulant-hypoprothrombinaemia syndrome (LAHS) with very low levels of factor II due to autoantibodies. She showed a good initial clinical and laboratory response to prednisone therapy, however steroid dependency developed. To the best of our knowledge, this is the first case reported of juvenile SLE presenting with LAHS.

KEY WORDS: Systemic lupus erythematosus, Lupus anticoagulant–hypoprothrombinaemia syndrome, Paediatric, Haemorrhage.

Notes

Correspondence to: Y. Uziel, Pediatric Rheumatology, Sapir Medical Center, 44281 Kfar Saba, Israel.


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