Right ventricular thrombus in a case of neonatal lupus: case report

Lupus. 2019 May;28(6):783-785. doi: 10.1177/0961203319846384. Epub 2019 May 1.

Abstract

Neonatal thrombosis is considered a rare manifestation with unclear aetiology. We reported a neonatal lupus of a Sjogren's syndrome mother with recurrent miscarriage secondary to antiphospholipid syndrome; seronegative to anticardiolipin antibodies, lupus anticoagulant and B2GP1. She was serologically positive to antiphosphatidylethanolamine and antiprothrombin antibodies, anti-SSA/Ro and anti-SSB/La. The neonate developed neonatal lupus complicated with right ventricular thrombus assumed to be induced by maternal transmission of antiphosphatidylethanolamine and antiprothrombin antibodies, treated successfully with tissue plasminogen activator and warfarin.

Keywords: Neonatal lupus; antiphospholipid syndrome; ventricular thrombus.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antibodies, Antinuclear / immunology
  • Antiphospholipid Syndrome / immunology
  • Echocardiography
  • Female
  • Heart Ventricles / diagnostic imaging*
  • Humans
  • Infant, Newborn
  • Lupus Erythematosus, Systemic / complications
  • Lupus Erythematosus, Systemic / congenital*
  • Male
  • Pregnancy
  • Pregnancy Complications / diagnosis
  • Pregnancy Complications / immunology*
  • Sjogren's Syndrome
  • Thrombosis / diagnostic imaging*
  • Thrombosis / etiology

Substances

  • Antibodies, Antinuclear

Supplementary concepts

  • Neonatal Systemic lupus erythematosus