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Indian Journal of Emergency Medicine 12(2):p 71-73, April-June 2026. | DOI: https://doi.org/10.21088/ijem.2395.311X.12226.1
Case Report
When Immunity, Coagulopathy, and Kidneys Collide: A Rare Case of Spontaneous SAH
Girish Kulle, Anita Rawat, Kishalay Datta, Goonja Bhattachary
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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
Indian Journal of Emergency Medicine 12(2):p 71-73, April-June 2026. | DOI: https://doi.org/10.21088/ijem.2395.311X.12226.1
How Cite This Article:
Girish Kulle, Anita Rawat, Kishalay Datta et. al, When Immunity, Coagulopathy, and Kidneys Collide: A Rare Case of Spontaneous SAH. Ind J Emerg Med. 2026; 12(2): 71-73.Timeline
Received : February 04, 2026
Accepted : March 05, 2026
Published : June 30, 2026
Abstract
Subarachnoid haemorrhage (SAH) is a life-threatening neurological emergency, most often caused by aneurysmal rupture. However, in patients with multiple systemic comorbidities, including autoimmune disease, coagulopathy, and endstage renal disease, the presentation and outcome may be particularly devastating. We report the case of a 56-year-old male with a background of lupus nephritis, secondary antiphospholipid antibody syndrome, chronic kidney disease on dialysis, and prior cerebrovascular accident who presented with acute headache and subsequently developed spontaneous SAH. Despite timely diagnosis and supportive management, the patient’s condition rapidly deteriorated and he succumbed. This case underscores the multifactorial risks of intracranial haemorrhage in complex autoimmune and renal disease patients, and emphasizes the need for vigilant monitoring and individualized risk-benefit decisions regarding antithrombotic therapy.
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Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
About this article
Cite this article
Girish Kulle, Anita Rawat, Kishalay Datta et. al, When Immunity, Coagulopathy, and Kidneys Collide: A Rare Case of Spontaneous SAH. Ind J Emerg Med. 2026; 12(2): 71-73.
Licence:
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
| Received | Accepted | Published |
|---|---|---|
| February 04, 2026 | March 05, 2026 | June 30, 2026 |
DOI: https://doi.org/10.21088/ijem.2395.311X.12226.1
Keywords
Sub-arachnoid haemorrhageAPLACKDCoagulopathSearch for Similar Articles
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Timeline
| Received | February 04, 2026 |
| Accepted | March 05, 2026 |
| Published | June 30, 2026 |
licence
Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.
