Crohn's Disease Causes a Catastrophe. Issue 3 (April 2015)

• Record Type: Journal Article
• Authors: Khan, Anam; Natarajan, Yamini; Sellin, Joseph
• Is Part Of: ACG Case Reports Journal. Volume 2:Issue 3(2015)
• Publication Date: 2015-04
• DOI: 10.14309/crj.2015.44
• Languages: English
• ISSNs: 2326-3253

Abstract

Abstract : N/A: Patients with Crohn's disease are at higher risk of developing antiphospholipid antibody syndrome (APS), of which 1% develop life‐threatening, rapidly progressive clotting known as catastrophic APS (CAPS). A 17‐year‐old male presented with intermittent bloody diarrhea and abdominal pain. He developed myopericarditis, alveolar hemorrhage, left frontal and parieto‐occipital infarct, superior sagittal sinus venous thrombosis, disseminated intravascular coagulation, and a pulmonary embolus. He was treated with high‐dose pulse steroids, anticoagulation, and plasma exchange. Colonoscopy revealed a flare of Crohn's disease, and azathioprine was initiated.