Popliteal pterygium syndrome is very rare genetic disorder, it can occur in multiple parts of the body, especially the kness with. This current case report describes a 14-day-old newborn admitted to the department of pediatric orthopaedic surgery for a popliteal pterygium syndrome. Clinical examination revealed an extensive bilateral popliteal webs. A doppler ultrasound was performed to specify the spatial relationship between the popliteal artery, the sciatic nerve, and the fibrous band. We proceeded to the resection of the webs with Z-plasties, and successive casts were performed.

Catastrophic anti-phospholipid syndrome (CAPS) is characterized by microvascular thrombosis in multiple sites leading to multi-organ damage. It is a rare and fatal complication of antiphospholipid syndrome (APS). We present a rare case of CAPS that presented with bilateral (b/l) adrenal hemorrhage making the diagnosis challenging in this otherwise rare disease. A 51-year-old female was initially admitted with abdominal pain and found to have bilateral adrenal hemorrhage. Patient had a fulminant disease course in which she had thrombotic manifestations involving multiple organ systems. This case was especially challenging as the patient's bilateral adrenal hemorrhage was the first manifestation of CAPS; the diagnosis of APS had to be made while treatment for presumed CAPS was emergently commenced for this life-threatening disease. Key to managing this condition is having a high index of suspicion for the diagnosis in patients presenting with multi-organ failure and multiple thromboses and hemorrhage.

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Sofia
Journal Co-ordinator
Journal of Rare Disorders: Diagnosis & Therapy