Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Rheumatology
Volume 2016, Article ID 4507247, 5 pages
http://dx.doi.org/10.1155/2016/4507247
Case Report

ANA Negative Systemic Lupus Erythematosus Leading to CTEPH, TTP-Like Thrombocytopenia, and Skin Ulcers

1Internal Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar 190011, India
2Rheumatology and Internal Medicine, Sher-I-Kashmir Institute of Medical Sciences, Srinagar 190011, India
3Internal Medicine, Mercy Catholic Medical Center, Philadelphia, PA 19026, USA

Received 2 January 2016; Revised 7 February 2016; Accepted 11 February 2016

Academic Editor: Tsai-Ching Hsu

Copyright © 2016 Khalid Hamid Changal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

SLE affects almost every organ system, with differing degrees of severity. During its clinical course periods of flares may alternate with periods of remission culminating in disease and therapy related damage. We describe a case of ANA negative SLE with severe thrombocytopenia, cutaneous vasculitis, antiphospholipid antibody syndrome, and pulmonary artery hypertension. As there is no definitive cure for SLE the treatment lies in caring for the individual organ systems involved and simultaneously taking care of the patient as a whole.