RT Journal Article SR Electronic T1 Bone marrow necrosis and refractory HELLP syndrome in a patient with catastrophic antiphospholipid antibody syndrome. JF The Journal of Rheumatology JO J Rheumatol FD The Journal of Rheumatology SP 195 OP 197 VO 29 IS 1 A1 Jayashree Sinha A1 Iftikhar Chowdhry A1 Sarah Sedan A1 Peter Barland YR 2002 UL http://www.jrheum.org/content/29/1/195.abstract AB We describe a 22-year-old woman who developed extensive and fatal bone marrow necrosis along with involvement of liver, lung, and central nervous system during pregnancy in the background of very high titers of antiphospholipid and anti-beta2 glycoprotein antibodies. This case illustrates a rarely recognized, potentially fatal complication of aPL in the setting of pregnancy.