ANTI-PHOSPHOLIPID SYNDROME INDUCED POST COVID INFECTION: A CASE REPORT
Authors:   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Khaled Abou El Foul Rami , Mahmoud Ibrahim Mohamed Mohamed ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Ramadan Mohammed Ali Mohammed Ahmed ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Mohamed Bakri Hammoda Hoda ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Abdalla Mohamed Abdalla Hesham ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Muzaffar Ali Rizvi Syed ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Mustafa Quraishy Nael ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Samir Mosaad Raoof Pierre ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Mohammed Ibrahim Abdelrahim Ahmed ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Darwish Haytham ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Abdulmola Albawab Amer ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Yousry Fahmy Botros Michael ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Abdelmoneim Mohamed Abdelmagid Noha ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Muhamed Al Meselmani Hazem ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Hasan Khaiyo Mammon ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Mostafa Abdelkhalek Mostafa Ahmed ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates., Hamed Elwan M. S. M ,   Radiology department, Hatta Hospital, Dubai, United Arab Emirates., Syed Rezzek M. ,   Internal Medicine Unit Hatta Hospital, Dubai, United Arab Emirates.
Published: April 2022

Anti- phospholipid syndrome (APS) is an autoimmune prothrombotic disease characterized by persistently elevated antiphospholipid antibodies, resulting in recurrent arterial and venous thromboembolic events. The deep veins of the lower limbs and the cerebral arterial circulation are the most common sites of venous and arterial thrombosis, respectively [1] The other major clinical manifestations of the antiphospholipid syndrome are obstetrical. They include the unexplained death of one or more morphologically normal fetuses at or beyond the 10th week of gestation, the premature birth of one or more morphologically normal neonates before the 34th week of gestation because of either eclampsia or severe preeclampsia, and three or more unexplained, consecutive spontaneous abortions before the 10th week of gestation [2] Thrombotic events post COVID 19 infection has been described since the beginning of pandemic in 2019[3]. Autopsy reports have shown that most thromboses are located in the lung, although they have also been observed in other organs such as the skin and kidneys. SARS-CoV2 infection induces a generalized prothrombotic state, which is attributed to a combination of factors such as hypoxia, excess cellular apoptosis, and mainly to overactivation of the immune system [4]. Considering the high rate of mortality due to coagulation abnormalities and thrombosis among coronavirus disease 2019 patients, it is important to pay attention to the differential diagnoses of coronavirus disease 2019 and other diseases following thrombotic events [5].