Unmasking the clot: A case of probable Catastrophic Antiphospholipid Syndrome in a young primigravid

Catastrophic Antiphospholipid Syndrome (CAPS) is a severe and potentially fatal disease presenting as severe, widespread microvascular and macrovascular thrombosis occurring in a short period, leading to multiorgan failure. This article presents a 26-year-old primigravida in her second trimester, who presented with recurrent focal seizures rapidly progressing to heart failure and pulmonary embolism and was diagnosed with probable CAPS. She was successfully managed with anticoagulants and anticonvulsant medications. The uniqueness of this case lies in its complexity, wherein the patient presented with concomitant neurologic, cardiac, and pulmonary complications, which all developed within a week. This article aims to enhance the limited medical literature concerning CAPS by discussing diagnostic difficulties as well as management strategies and ethical considerations in a pregnant patient who has difficulty accessing health care coupled with concurrent psychological and physical comorbidities.