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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 …
Contributors LZ wrote the case report. ACP contributed the discussion and edited the paper.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Fady Joseph, South Wales, UK.