Obstetric APLA syndrome: Catastrophe hidden in iceberg

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Obstetric Antiphopholipid Syndrome (OAPS) is a serious threat in pregnancy leading to, either or both, maternal and fetal morbidity / mortality. We present here a case of young primigravida, pre-eclamptic female with intrauterine fetal death and subsequent postpartum renal cortical necrosis. Association with antiphospholipid antibodies (APLA) as a causative factor for these catastrophic events was established only during workup of renal biopsy reporting. This case highlights the importance of including APLA as a screening investigation during antenatal care especially in developing and underdeveloped countries.