{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T09:51:09Z","timestamp":1787997069521,"version":"build-2784847793"},"reference-count":10,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Systemic lupus erythematosus (SLE) can lead to antiphospholipid syndrome (APS) and catastrophic APS (CAPS), causing severe thrombotic events. This case of autoimmune hemolytic anemia (AIHA) with stroke and Libman\u2013Sacks endocarditis highlights the need for APS evaluation and shows that prompt anticoagulation and immunosuppressive therapy are crucial in such cases.<\/jats:p>","DOI":"10.1002\/ccr3.71552","type":"journal-article","created":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T05:45:57Z","timestamp":1764654357000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Systemic Lupus Erythematosus With Catastrophic\n                    <scp>APS<\/scp>\n                    and Libman\u2013Sacks Endocarditis in a Patient With Autoimmune Hemolytic Anemia: A Case Report"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6562-9776","authenticated-orcid":false,"given":"Soroush","family":"Ehsan","sequence":"first","affiliation":[{"name":"Department of Neurology, Valiasr Naja Hospital Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6922-8716","authenticated-orcid":false,"given":"Sirous","family":"Afshar","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Valiasr Naja Hospital Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3558-7670","authenticated-orcid":false,"given":"Sahel","family":"Bakhtiari","sequence":"additional","affiliation":[{"name":"Department of Education, Valiasr Naja Hospital Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reza","family":"Pourfallah","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, Valiasr Naja Hospital Shahid Beheshti University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7501-8721","authenticated-orcid":false,"given":"Shabnam","family":"Danaei Mehrabad","sequence":"additional","affiliation":[{"name":"Department of Medical Library and Information Science, School of Health Management and Information Sciences Iran University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/annrheumdis-2020-218272"},{"issue":"8","key":"e_1_2_14_3_1","article-title":"A Difficult and Rare Case of Warfarin Refractory Antiphospholipid Syndrome Presenting With Catastrophic Antiphospholipid Syndrome Complicated by Gastrointestinal Bleeding","volume":"13","author":"Lim W.","year":"2021","journal-title":"Cureus"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1182\/hematology.2024000544"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1759720X13502919"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjh.19242"},{"issue":"3","key":"e_1_2_14_7_1","first-page":"327","article-title":"Vascular Dementia: Pharmacological Treatment Approaches and Perspectives","volume":"2","author":"Baskys A.","year":"2007","journal-title":"Clinical Interventions in Aging"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2024.1370285"},{"issue":"3","key":"e_1_2_14_9_1","article-title":"Libman\u2010Sacks Endocarditis in Patients With Systemic Lupus Erythematosus With Secondary Antiphospholipid Syndrome","volume":"10","author":"Kebar Y. 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