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There are frequent descriptions of memory alterations, cognition and mood disorders, such as depression, anxiety, and even conditions of mania and psychosis preceding the diagnosis of primary APS. However, this study is the first to present primary or secondary APS associated with habit or impulse control disorders. The authors describe the case of a 53-year-old male patient who had been a pathological gambler since adulthood and who has had APS for more than 20\u2009years. We describe the case and review its characteristics, criteria for diagnosis and treatment offered for patients with this specific subtype of impulse disorder.<\/jats:p>","DOI":"10.1177\/0961203310397564","type":"journal-article","created":{"date-parts":[[2011,5,10]],"date-time":"2011-05-10T01:05:39Z","timestamp":1304989539000},"page":"1086-1089","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Pathological gambling and primary antiphospholipid (Hughes) syndrome: a unique neuropsychiatric association"],"prefix":"10.1177","volume":"20","author":[{"given":"SM","family":"Barros","sequence":"first","affiliation":[{"name":"Department of Rheumatology, Naval Hospital Marc\u00edlio Dias, Rio de Janeiro, RJ, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"JF","family":"de Carvalho","sequence":"additional","affiliation":[{"name":"Department of Rheumatology, Clinical Hospital, College of Medicine, Universidade de S\u00e3o Paulo, S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2011,5,9]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1176\/ps.49.11.1434"},{"key":"e_1_3_3_3_2","unstructured":"American Psychiatric Association. 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