• Lab error? Even her platelet count is down.
• Physical certainly suggests leg vein thrombosis.
• She may have early rheumatoid arthritis.
• Her symptoms plus positive RA.
• History of miscarriage
• Family history may be important.
• Definitely want to avoid what's on the right.

• Repeat of the aPTT still shows substantial prolongation at 47 seconds.
• Remember with anti-cardiolipin antibodies, the aPTT may be prolonged.
• This prolongation is a fluke of the artificial way the aPTT is triggered.
• Could this be antiphospholipid syndrome (APS)? Here are some clinical findings.
• Venous thrombosis:
• Deep venous thrombosis and pulmonary embolization.
• Arterial thrombosis:
• Stroke, TIA and myocardial infarction.
• Recurrent fetal loss.

Maybe the lab can help.                                                                            Back