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Oromandibular chorea in antiphospholipid syndrome
  1. Liqun Zhang,
  2. Anthony C Pereira
  1. Department of Neurology, St George’s University Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Dr Liqun Zhang, Department of Neurology , St George’s University Hospital NHS Foundation Trust, London SW17 0QT UK; liqun.zhang{at}nhs.net

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A 74-year-old woman gave a 6-month history of headache and intermittent face and arm movements. On initial examination, there were subtle right arm and leg choreiform movements. Her blood tests showed a low platelet count of 129×109/L (150–400), international normalised ratio of 1.2 (<1.4), erythrocyte sedimentation rate of 23 mm/first hour (<30), positive lupus anticoagulant, weakly positive anticardiolipin IgG at 25 IgG …

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