SlideShare une entreprise Scribd logo

A Case of Antiphospholipid Antibody Syndrome

•Télécharger en tant que PPT, PDF•
•
S
Stanley Medical College, Department of Medicine
Santé & Médecine
1  sur  53
Physician’s Meet March 17 2010 Dr Jishanth M Prof. Dr A Gowrishankar’s Unit, M4
An Interesting Hypercoagulable State
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
System Examination: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
PROVISIONAL DIAGNOSIS ,[object Object],[object Object],[object Object]
INVESTIGATIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CXR PA VIEW
 
Investigation contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
CT ANGIOGRAM ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Further investigations ,[object Object],[object Object],[object Object],[object Object],[object Object]
HRCT Chest
Interlobular septal thickening B/l cystic spaces with peribrochial fibrosis
FINAL DIAGNOSIS ,[object Object],[object Object],[object Object]
Antiphospholipid Syndrome ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Antiphospholipid Syndrome - Etiology ,[object Object],[object Object],[object Object],[object Object]
Disease associations
Drug Induced aPLs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antiphospholipid antibodies ,[object Object],[object Object],[object Object],[object Object],[object Object]
Antiphospholipid Antibodies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Antiphospholipid Antibodies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Beta 2 Glycoprotein I ,[object Object],[object Object],[object Object],[object Object],[object Object]
Significance of aPLs ,[object Object],[object Object]
APS Pathophysiology ,[object Object],platelets Coagulation cascade Endothelial cells Activate platelet aggregation Inhibit Protein C, Protein S, thrombomodulin, antithrombin III fibrinolysis TF, adhesion molecules and proinflammatory cytokines Placental tissue Trophoblastic cell growth, apoptosis IL-3 Complement system
APS Pathophysiology
Pathogenesis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
REVISED SAPPORO CRITERIA, SYDNEY 2006 Clinical Criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory criteria ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Catastrophic APS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment-General ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anticoagulation ,[object Object],[object Object],[object Object]
Treatment-Other ,[object Object],[object Object],[object Object]
Treatment of Catastrophic APS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Future directions of treatment of APS ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Summary ,[object Object],[object Object],[object Object],[object Object],[object Object]
Uniqueness of the case under discussion….
….THANK YOU….

Recommandé

Antiphospholipid antibody syndrome
Antiphospholipid antibody syndromeAntiphospholipid antibody syndrome
Antiphospholipid antibody syndromePraveen Nagula
 
Antiphospholipid syndrome
Antiphospholipid syndromeAntiphospholipid syndrome
Antiphospholipid syndromeJay Jay
 
Antiphospholipid Syndrome
Antiphospholipid SyndromeAntiphospholipid Syndrome
Antiphospholipid SyndromeWaleed El-Refaey
 
Antiphospholipid antibody syndrome
Antiphospholipid antibody syndromeAntiphospholipid antibody syndrome
Antiphospholipid antibody syndromeajayyadav753
 
Anti phospholipid antibody ppt
Anti phospholipid antibody pptAnti phospholipid antibody ppt
Anti phospholipid antibody pptJyoti Sharma
 
Hemophagocytic lymphohistiocytosis
Hemophagocytic lymphohistiocytosisHemophagocytic lymphohistiocytosis
Hemophagocytic lymphohistiocytosisJagjit Khosla
 
Antiphospholipid syndrome By Dr.Rozan
Antiphospholipid syndrome By Dr.RozanAntiphospholipid syndrome By Dr.Rozan
Antiphospholipid syndrome By Dr.RozanRafi Rozan
 
Vasculitis
VasculitisVasculitis
Vasculitisdrangelosmith
 

Recommandé

Antiphospholipid antibody syndrome
Antiphospholipid antibody syndromeAntiphospholipid antibody syndrome
Antiphospholipid antibody syndromePraveen Nagula
 
Antiphospholipid syndrome
Antiphospholipid syndromeAntiphospholipid syndrome
Antiphospholipid syndromeJay Jay
 
Antiphospholipid Syndrome
Antiphospholipid SyndromeAntiphospholipid Syndrome
Antiphospholipid SyndromeWaleed El-Refaey
 
Antiphospholipid antibody syndrome
Antiphospholipid antibody syndromeAntiphospholipid antibody syndrome
Antiphospholipid antibody syndromeajayyadav753
 
Anti phospholipid antibody ppt
Anti phospholipid antibody pptAnti phospholipid antibody ppt
Anti phospholipid antibody pptJyoti Sharma
 
Hemophagocytic lymphohistiocytosis
Hemophagocytic lymphohistiocytosisHemophagocytic lymphohistiocytosis
Hemophagocytic lymphohistiocytosisJagjit Khosla
 
Antiphospholipid syndrome By Dr.Rozan
Antiphospholipid syndrome By Dr.RozanAntiphospholipid syndrome By Dr.Rozan
Antiphospholipid syndrome By Dr.RozanRafi Rozan
 
Vasculitis
VasculitisVasculitis
Vasculitisdrangelosmith
 
Approach to vasculitis
Approach to vasculitisApproach to vasculitis
Approach to vasculitisUsman Shams
 
Statin-induced Myalgia and Myositis
Statin-induced Myalgia and Myositis Statin-induced Myalgia and Myositis
Statin-induced Myalgia and Myositis Ade Wijaya
 
Anti phospholipid syndrome
Anti phospholipid syndromeAnti phospholipid syndrome
Anti phospholipid syndromeChitralekha Khati
 
Antiphospholipid antibody syndrome
Antiphospholipid antibody syndromeAntiphospholipid antibody syndrome
Antiphospholipid antibody syndromeDimi Laloo
 
Thrombophilia
ThrombophiliaThrombophilia
ThrombophiliaMonkez M Yousif
 
Vasculitis
VasculitisVasculitis
VasculitisDeep Chandh
 
Septic shock management (1)
Septic shock management (1)Septic shock management (1)
Septic shock management (1)shashank agrawal
 
Autoimmune Hepatitis
Autoimmune HepatitisAutoimmune Hepatitis
Autoimmune HepatitisPratap Tiwari
 
Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...
Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...
Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...NephroTube - Dr.Gawad
 
Vasculitis
VasculitisVasculitis
VasculitisRajesh Mandal
 
Systemic sclerosis..scleroderma
Systemic sclerosis..sclerodermaSystemic sclerosis..scleroderma
Systemic sclerosis..sclerodermaPraveen Nagula
 
Vasculitis
VasculitisVasculitis
Vasculitisimrana tanvir
 
Glanzmann thrombasthenia
Glanzmann thrombastheniaGlanzmann thrombasthenia
Glanzmann thrombastheniavijay dihora
 
Anemia in ckd
Anemia in ckd Anemia in ckd
Anemia in ckd Dr Ramesh Krishnan
 
Systemic sclerosis
Systemic sclerosisSystemic sclerosis
Systemic sclerosisfarranajwa
 
Pancytopenia
PancytopeniaPancytopenia
PancytopeniaDr.Amjed Alnatsheh
 
Antiphospholipid Antibody syndrome- Updated Guidelines
Antiphospholipid Antibody syndrome- Updated GuidelinesAntiphospholipid Antibody syndrome- Updated Guidelines
Antiphospholipid Antibody syndrome- Updated GuidelinesSuneth Weerarathna
 
Seronegative Spondyloarthropathies
Seronegative SpondyloarthropathiesSeronegative Spondyloarthropathies
Seronegative SpondyloarthropathiesSri Harsha Gutta
 
Transplantation in sensitized patients(seminar)
Transplantation in sensitized patients(seminar)Transplantation in sensitized patients(seminar)
Transplantation in sensitized patients(seminar)Vishal Golay
 
Autoimmune hepatitis rajesh
Autoimmune hepatitis rajeshAutoimmune hepatitis rajesh
Autoimmune hepatitis rajeshMohit Aggarwal
 
Rheumatic Fever
Rheumatic FeverRheumatic Fever
Rheumatic FeverDJ CrissCross
 
grand round
grand roundgrand round
grand roundMelaku Yetbarek,MD
 

Contenu connexe

Tendances

Approach to vasculitis
Approach to vasculitisApproach to vasculitis
Approach to vasculitisUsman Shams
 
Statin-induced Myalgia and Myositis
Statin-induced Myalgia and Myositis Statin-induced Myalgia and Myositis
Statin-induced Myalgia and Myositis Ade Wijaya
 
Antiphospholipid antibody syndrome
Antiphospholipid antibody syndromeAntiphospholipid antibody syndrome
Antiphospholipid antibody syndromeDimi Laloo
 
Septic shock management (1)
Septic shock management (1)Septic shock management (1)
Septic shock management (1)shashank agrawal
 
Autoimmune Hepatitis
Autoimmune HepatitisAutoimmune Hepatitis
Autoimmune HepatitisPratap Tiwari
 
Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...
Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...
Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...NephroTube - Dr.Gawad
 
Systemic sclerosis..scleroderma
Systemic sclerosis..sclerodermaSystemic sclerosis..scleroderma
Systemic sclerosis..sclerodermaPraveen Nagula
 
Glanzmann thrombasthenia
Glanzmann thrombastheniaGlanzmann thrombasthenia
Glanzmann thrombastheniavijay dihora
 
Systemic sclerosis
Systemic sclerosisSystemic sclerosis
Systemic sclerosisfarranajwa
 
Antiphospholipid Antibody syndrome- Updated Guidelines
Antiphospholipid Antibody syndrome- Updated GuidelinesAntiphospholipid Antibody syndrome- Updated Guidelines
Antiphospholipid Antibody syndrome- Updated GuidelinesSuneth Weerarathna
 
Seronegative Spondyloarthropathies
Seronegative SpondyloarthropathiesSeronegative Spondyloarthropathies
Seronegative SpondyloarthropathiesSri Harsha Gutta
 
Transplantation in sensitized patients(seminar)
Transplantation in sensitized patients(seminar)Transplantation in sensitized patients(seminar)
Transplantation in sensitized patients(seminar)Vishal Golay
 
Autoimmune hepatitis rajesh
Autoimmune hepatitis rajeshAutoimmune hepatitis rajesh
Autoimmune hepatitis rajeshMohit Aggarwal
 

Tendances (20)

Approach to vasculitis
Approach to vasculitisApproach to vasculitis
Approach to vasculitis
 
Statin-induced Myalgia and Myositis
Statin-induced Myalgia and Myositis Statin-induced Myalgia and Myositis
Statin-induced Myalgia and Myositis
 
Anti phospholipid syndrome
Anti phospholipid syndromeAnti phospholipid syndrome
Anti phospholipid syndrome
 
Antiphospholipid antibody syndrome
Antiphospholipid antibody syndromeAntiphospholipid antibody syndrome
Antiphospholipid antibody syndrome
 
Thrombophilia
ThrombophiliaThrombophilia
Thrombophilia
 
Vasculitis
VasculitisVasculitis
Vasculitis
 
Septic shock management (1)
Septic shock management (1)Septic shock management (1)
Septic shock management (1)
 
Autoimmune Hepatitis
Autoimmune HepatitisAutoimmune Hepatitis
Autoimmune Hepatitis
 
Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...
Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...
Dysproteinemias Related Renal Disorders, Monoclonal Gammopathy (Paraproteinem...
 
Vasculitis
VasculitisVasculitis
Vasculitis
 
Systemic sclerosis..scleroderma
Systemic sclerosis..sclerodermaSystemic sclerosis..scleroderma
Systemic sclerosis..scleroderma
 
Vasculitis
VasculitisVasculitis
Vasculitis
 
Glanzmann thrombasthenia
Glanzmann thrombastheniaGlanzmann thrombasthenia
Glanzmann thrombasthenia
 
Anemia in ckd
Anemia in ckd Anemia in ckd
Anemia in ckd
 
Systemic sclerosis
Systemic sclerosisSystemic sclerosis
Systemic sclerosis
 
Pancytopenia
PancytopeniaPancytopenia
Pancytopenia
 
Antiphospholipid Antibody syndrome- Updated Guidelines
Antiphospholipid Antibody syndrome- Updated GuidelinesAntiphospholipid Antibody syndrome- Updated Guidelines
Antiphospholipid Antibody syndrome- Updated Guidelines
 
Seronegative Spondyloarthropathies
Seronegative SpondyloarthropathiesSeronegative Spondyloarthropathies
Seronegative Spondyloarthropathies
 
Transplantation in sensitized patients(seminar)
Transplantation in sensitized patients(seminar)Transplantation in sensitized patients(seminar)
Transplantation in sensitized patients(seminar)
 
Autoimmune hepatitis rajesh
Autoimmune hepatitis rajeshAutoimmune hepatitis rajesh
Autoimmune hepatitis rajesh
 

Similaire à A Case of Antiphospholipid Antibody Syndrome

ANEMIA IN PREGNANCY-CASE PRESENTATION.pptx
ANEMIA IN PREGNANCY-CASE PRESENTATION.pptxANEMIA IN PREGNANCY-CASE PRESENTATION.pptx
ANEMIA IN PREGNANCY-CASE PRESENTATION.pptxAbcdee3
 
vasculitis.pptx
vasculitis.pptxvasculitis.pptx
vasculitis.pptxHaniaAfzal
 
Right sided valve infective endocarditis by dr adeel
Right sided valve infective endocarditis by dr adeelRight sided valve infective endocarditis by dr adeel
Right sided valve infective endocarditis by dr adeelWest Medicine Ward
 
Clinical case seminar - Gagandeep Singh Anand - LINKEDIN
Clinical case seminar - Gagandeep Singh Anand - LINKEDINClinical case seminar - Gagandeep Singh Anand - LINKEDIN
Clinical case seminar - Gagandeep Singh Anand - LINKEDINGagandeep Singh Anand
 
Review on management of Dengue.pptx
Review on management of Dengue.pptxReview on management of Dengue.pptx
Review on management of Dengue.pptxpranabchhetri
 
case presentation respiratoy.pptx
case presentation respiratoy.pptxcase presentation respiratoy.pptx
case presentation respiratoy.pptxCollinsOrdu2
 
A 10 year old boy with back pain
A 10 year old boy with back painA 10 year old boy with back pain
A 10 year old boy with back painTanveer Fahim
 
Antitubercular Agents
Antitubercular AgentsAntitubercular Agents
Antitubercular Agentsgirlie
 

Similaire à A Case of Antiphospholipid Antibody Syndrome (20)

Rheumatic Fever
Rheumatic FeverRheumatic Fever
Rheumatic Fever
 
grand round
grand roundgrand round
grand round
 
Unusual Cause of Pulmonary Hypertension
Unusual Cause of Pulmonary HypertensionUnusual Cause of Pulmonary Hypertension
Unusual Cause of Pulmonary Hypertension
 
A Case of Henoch-Schonlein Purpura
A Case of Henoch-Schonlein PurpuraA Case of Henoch-Schonlein Purpura
A Case of Henoch-Schonlein Purpura
 
A Case of Hepato-Pulmonary Syndrome
A Case of Hepato-Pulmonary SyndromeA Case of Hepato-Pulmonary Syndrome
A Case of Hepato-Pulmonary Syndrome
 
ANEMIA IN PREGNANCY-CASE PRESENTATION.pptx
ANEMIA IN PREGNANCY-CASE PRESENTATION.pptxANEMIA IN PREGNANCY-CASE PRESENTATION.pptx
ANEMIA IN PREGNANCY-CASE PRESENTATION.pptx
 
A Case of Idiopathic Pulmonary Hypertension
A Case of Idiopathic Pulmonary HypertensionA Case of Idiopathic Pulmonary Hypertension
A Case of Idiopathic Pulmonary Hypertension
 
vasculitis.pptx
vasculitis.pptxvasculitis.pptx
vasculitis.pptx
 
Upper GI Bleeding
Upper GI Bleeding Upper GI Bleeding
Upper GI Bleeding
 
Right sided valve infective endocarditis by dr adeel
Right sided valve infective endocarditis by dr adeelRight sided valve infective endocarditis by dr adeel
Right sided valve infective endocarditis by dr adeel
 
Monstering Humans.Ppt 2003
Monstering Humans.Ppt 2003Monstering Humans.Ppt 2003
Monstering Humans.Ppt 2003
 
Clinical case seminar - Gagandeep Singh Anand - LINKEDIN
Clinical case seminar - Gagandeep Singh Anand - LINKEDINClinical case seminar - Gagandeep Singh Anand - LINKEDIN
Clinical case seminar - Gagandeep Singh Anand - LINKEDIN
 
Case discussion
Case discussionCase discussion
Case discussion
 
Review on management of Dengue.pptx
Review on management of Dengue.pptxReview on management of Dengue.pptx
Review on management of Dengue.pptx
 
Churg Strauss Syndrome
Churg Strauss SyndromeChurg Strauss Syndrome
Churg Strauss Syndrome
 
case presentation respiratoy.pptx
case presentation respiratoy.pptxcase presentation respiratoy.pptx
case presentation respiratoy.pptx
 
Case 2: Pulmonary Thromboembolism
Case 2: Pulmonary ThromboembolismCase 2: Pulmonary Thromboembolism
Case 2: Pulmonary Thromboembolism
 
A 10 year old boy with back pain
A 10 year old boy with back painA 10 year old boy with back pain
A 10 year old boy with back pain
 
Pulmonary Renal Syndorme
Pulmonary Renal Syndorme Pulmonary Renal Syndorme
Pulmonary Renal Syndorme
 
Antitubercular Agents
Antitubercular AgentsAntitubercular Agents
Antitubercular Agents
 

Plus de Stanley Medical College, Department of Medicine

Plus de Stanley Medical College, Department of Medicine (20)

Interpretation of Liver Function Tests
Interpretation of Liver Function TestsInterpretation of Liver Function Tests
Interpretation of Liver Function Tests
 
A Case of Sheehan's Syndrome
A Case of Sheehan's SyndromeA Case of Sheehan's Syndrome
A Case of Sheehan's Syndrome
 
Imaging: Cortical Vein Thrombosis
Imaging: Cortical Vein ThrombosisImaging: Cortical Vein Thrombosis
Imaging: Cortical Vein Thrombosis
 
ECG: Findings in CNS disorders
ECG: Findings in CNS disordersECG: Findings in CNS disorders
ECG: Findings in CNS disorders
 
A Case of Arrhythmogenic Right Ventricular Dysplasia - ARVD
A Case of Arrhythmogenic Right Ventricular Dysplasia - ARVDA Case of Arrhythmogenic Right Ventricular Dysplasia - ARVD
A Case of Arrhythmogenic Right Ventricular Dysplasia - ARVD
 
A Case of NASH with HYPOTHYROIDISM
A Case of NASH with HYPOTHYROIDISMA Case of NASH with HYPOTHYROIDISM
A Case of NASH with HYPOTHYROIDISM
 
IMAGING: NEUROCYSTICERCOSIS
IMAGING: NEUROCYSTICERCOSISIMAGING: NEUROCYSTICERCOSIS
IMAGING: NEUROCYSTICERCOSIS
 
ECG: Digitalis Effect / MAT / AF
ECG: Digitalis Effect / MAT / AFECG: Digitalis Effect / MAT / AF
ECG: Digitalis Effect / MAT / AF
 
Imaging: BOOP
Imaging: BOOPImaging: BOOP
Imaging: BOOP
 
ECG: Hypokalemia
ECG: HypokalemiaECG: Hypokalemia
ECG: Hypokalemia
 
A Case of Schmidt Syndrome
A Case of Schmidt Syndrome A Case of Schmidt Syndrome
A Case of Schmidt Syndrome
 
A Case of Rodenticide Poisoning
A Case of Rodenticide PoisoningA Case of Rodenticide Poisoning
A Case of Rodenticide Poisoning
 
A Case of Emphysematous Pylonephritis
A Case of Emphysematous Pylonephritis A Case of Emphysematous Pylonephritis
A Case of Emphysematous Pylonephritis
 
Imaging: Multiple Pulmonary Cavitary Lesions
Imaging: Multiple Pulmonary Cavitary LesionsImaging: Multiple Pulmonary Cavitary Lesions
Imaging: Multiple Pulmonary Cavitary Lesions
 
ECG: Atrial Dissociation
ECG: Atrial DissociationECG: Atrial Dissociation
ECG: Atrial Dissociation
 
A Case of Thalassemia
A Case of ThalassemiaA Case of Thalassemia
A Case of Thalassemia
 
A Case of Renal Amyloidosis
A Case of Renal AmyloidosisA Case of Renal Amyloidosis
A Case of Renal Amyloidosis
 
CXR: Silico-Tuberculosis
CXR: Silico-TuberculosisCXR: Silico-Tuberculosis
CXR: Silico-Tuberculosis
 
ECG: A Case of Flutter-Fibrillation
ECG: A Case of Flutter-FibrillationECG: A Case of Flutter-Fibrillation
ECG: A Case of Flutter-Fibrillation
 
A Case of Madras Motor Neurone Disease
A Case of Madras Motor Neurone Disease A Case of Madras Motor Neurone Disease
A Case of Madras Motor Neurone Disease
 

Dernier

Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoybabeytanya
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Dipal Arora
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Call Girls in Nagpur High Profile
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...Arohi Goyal
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escortsvidya singh
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...narwatsonia7
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...Taniya Sharma
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Deliverynehamumbai
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableDipal Arora
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...chandars293
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatorenarwatsonia7
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.MiadAlsulami
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Servicemakika9823
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...jageshsingh5554
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escortsaditipandeya
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableDipal Arora
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomdiscovermytutordmt
 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...narwatsonia7
 

Dernier (20)

Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night EnjoyCall Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
Call Girl Number in Panvel Mumbai📲 9833363713 💞 Full Night Enjoy
 
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
Call Girls Bhubaneswar Just Call 9907093804 Top Class Call Girl Service Avail...
 
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
Book Paid Powai Call Girls Mumbai 𖠋 9930245274 𖠋Low Budget Full Independent H...
 
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
All Time Service Available Call Girls Marine Drive 📳 9820252231 For 18+ VIP C...
 
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore EscortsCall Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
Call Girls Horamavu WhatsApp Number 7001035870 Meeting With Bangalore Escorts
 
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
VIP Call Girls Tirunelveli Aaradhya 8250192130 Independent Escort Service Tir...
 
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
💎VVIP Kolkata Call Girls Parganas🩱7001035870🩱Independent Girl ( Ac Rooms Avai...
 
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on DeliveryCall Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
Call Girls Colaba Mumbai ❤️ 9920874524 👈 Cash on Delivery
 
Chandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD availableChandrapur Call girls 8617370543 Provides all area service COD available
Chandrapur Call girls 8617370543 Provides all area service COD available
 
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
The Most Attractive Hyderabad Call Girls Kothapet 𖠋 6297143586 𖠋 Will You Mis...
 
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service CoimbatoreCall Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
Call Girl Coimbatore Prisha☎️ 8250192130 Independent Escort Service Coimbatore
 
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
Artifacts in Nuclear Medicine with Identifying and resolving artifacts.
 
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls ServiceKesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
Kesar Bagh Call Girl Price 9548273370 , Lucknow Call Girls Service
 
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
VIP Service Call Girls Sindhi Colony 📳 7877925207 For 18+ VIP Call Girl At Th...
 
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore EscortsVIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
VIP Call Girls Indore Kirti 💚😋 9256729539 🚀 Indore Escorts
 
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Varanasi Just Call 9907093804 Top Class Call Girl Service Available
 
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
Russian Call Girls in Delhi Tanvi ➡️ 9711199012 💋📞 Independent Escort Service...
 
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service AvailableCall Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
Call Girls Coimbatore Just Call 9907093804 Top Class Call Girl Service Available
 
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel roomLucknow Call girls - 8800925952 - 24x7 service with hotel room
Lucknow Call girls - 8800925952 - 24x7 service with hotel room
 
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
Bangalore Call Girls Hebbal Kempapura Number 7001035870 Meetin With Bangalor...
 

A Case of Antiphospholipid Antibody Syndrome

Notes de l'éditeur

  1. Other triggers: surgical procedures DIC, rare in APS, more common in catastrophic APS