Abstract
In June 2020, a 54-year-old female presented with severe fatigue that had been worsening over the past few weeks. She had a history of primary triple positive (lupus anticoagulant, anticardiolipin and anti-β2GP1 antibodies) antiphospholipid syndrome (APS) revealed 19 years ago by a venous thromboembolism, and had been long-term treated with warfarin.
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