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Dermatology · Vascular disorders: Sneddon syndrome
Sample itemA 35-year-old woman has livedo racemosa of the trunk and limbs and has had two ischaemic strokes. Which antibody should be sought?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Antiphospholipid antibodies
Sneddon syndrome combines livedo racemosa, a broken net pattern, with recurrent cerebrovascular events, and many patients have antiphospholipid antibodies. It is a thrombotic vasculopathy requiring anticoagulation in antibody-positive cases. Livedo racemosa is more pathological than the physiological livedo reticularis.
Option by option
A. Anti-desmoglein 3
Anti-desmoglein 3 is seen in pemphigus vulgaris.
B. Antiphospholipid antibodies (correct)
Correct. Antiphospholipid antibodies are associated with Sneddon syndrome.
C. Anti-Jo-1
Anti-Jo-1 is linked to antisynthetase syndrome.
D. Anti-Scl-70
Anti-Scl-70 is linked to diffuse systemic sclerosis.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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