We report an extremely rare case of medium vessel thrombosis (ulnar and popliteal artery) in a 26-year-old female presenting with recurrent abortion fixed blade knife and gangrenous right ring finger and pregangrenous toes of the left feet.Medium vessel thrombosis i.e.
selective involvement of ulnar and popliteal vessels is an extremely rare phenomenon described in the literature of antiphospholipid antibody (APLA) syndrome.We conservatively managed the patient with antiplatelets and anticoagulants which substantially improved Mug Racks the ischemia of the finger and toes.Our case is a unique description of ulnar and popliteal artery thrombosis in APLA syndrome which has not been described in world literature so far.