Abstract
A 16 year old girl with systemic lupus erythematosus (SLE) developed the rare complication of central retinal vein occlusion. Although classically a disease of older patients, it has been recognised in association with SLE but only in the presence of the lupus anticoagulant or antiphospholipid antibodies. The thrombosis occurred when free protein S concentrations were transiently reduced and there was no family history or other known causes of reduced protein S concentrations. No other prothrombotic risk factors were present.
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Selected References
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- Barnum S. R., Dahlbäck B. C4b-binding protein, a regulatory component of the classical pathway of complement, is an acute-phase protein and is elevated in systemic lupus erythematosus. Complement Inflamm. 1990;7(2):71–77. doi: 10.1159/000463131. [DOI] [PubMed] [Google Scholar]
- D'Angelo A., Della Valle P., Crippa L., Pattarini E., Grimaldi L. M., Viganò D'Angelo S. Brief report: autoimmune protein S deficiency in a boy with severe thromboembolic disease. N Engl J Med. 1993 Jun 17;328(24):1753–1757. doi: 10.1056/NEJM199306173282405. [DOI] [PubMed] [Google Scholar]
- Dahlbäck B. Protein S and C4b-binding protein: components involved in the regulation of the protein C anticoagulant system. Thromb Haemost. 1991 Jul 12;66(1):49–61. [PubMed] [Google Scholar]
- Griffin J. H., Gruber A., Fernández J. A. Reevaluation of total, free, and bound protein S and C4b-binding protein levels in plasma anticoagulated with citrate or hirudin. Blood. 1992 Jun 15;79(12):3203–3211. [PubMed] [Google Scholar]
- Keeling D. M., Campbell S. J., Mackie I. J., Machin S. J., Isenberg D. A. Total and free protein S in systemic lupus erythematosus. Thromb Res. 1990 Nov 1;60(3):237–240. doi: 10.1016/0049-3848(90)90185-f. [DOI] [PubMed] [Google Scholar]
- Kohner E. M., Cappin J. M. Do medical conditions have an influence on central retinal vein occlusions? Proc R Soc Med. 1974 Oct;67(10):1052–1054. doi: 10.1177/003591577406701037. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Snyers B., Lambert M., Hardy J. P. Retinal and choroidal vaso-occlusive disease in systemic lupus erythematosus associated with antiphospholipid antibodies. Retina. 1990;10(4):255–260. doi: 10.1097/00006982-199010000-00005. [DOI] [PubMed] [Google Scholar]
- Thorisdottir H., Evans J. A., Schwartz H. J., Comp P., Haluschak J., Ratnoff O. D. Some clotting factors in plasma during danazol therapy: free and total protein S, but not C4b-binding protein, are elevated by danazol therapy. J Lab Clin Med. 1992 Jun;119(6):698–701. [PubMed] [Google Scholar]
- Vine A. K., Samama M. M. The role of abnormalities in the anticoagulant and fibrinolytic systems in retinal vascular occlusions. Surv Ophthalmol. 1993 Jan-Feb;37(4):283–292. doi: 10.1016/0039-6257(93)90011-u. [DOI] [PubMed] [Google Scholar]
