Systemic Lupus Erythematosus Presenting as Superior Vena Cava Syndrome Associated With Anticardiolipin Antibodies

A case of systemic lupus erythematosus (SLE) presenting as superior vena cava syndrome is pre sented. This 19-year-old woman was admitted for head ache and swelling in her face and neck. Initial evaluation revealed that she had a superior vena cava syndrome. Thoracal computed tomography (CT) and intravenous digital substraction angiography demonstrated the occlu sion in the superior vena cava. ANA and antiDNA titers were high and anticardiolipin antibodies were positive. Along with immunosuppressive treatment, she had been administered intravenous streptokinase. To our knowl edge, no SLE patient presenting with such an unusual form has been described in the English literature.