Vol. 1, Issue 6, Part A (2015)

Abstract
A 24 years old female patient came to the causality with exertional breathlessness and jaundice, on examination she is gross pallor and blood is incompatible for blood transfusion on evaluation she diagnosed as auto immune haemolytic anemia. With history of recurrent pregnancy loss and on evaluation having retinal arteriolar thrombosis with laboratory support we diagnosed the case as Anti phospholipid antibody syndrome. Anti-phospholipid antibody syndrome is rare and its initial presentation with auto immune haemolytic anemia is rarer [1], high level of suspicion is required to diagnose it.