How I treat the antiphospholipid syndrome

被引:48
作者
Giannakopoulos, Bill [1 ,2 ]
Krilis, Steven A. [1 ,2 ]
机构
[1] St George Hosp, Dept Immunol Allergy & Infect Dis, Kogarah, NSW, Australia
[2] Univ New S Wales, Dept Med, Kogarah, NSW, Australia
关键词
LOW-MOLECULAR-WEIGHT; SYSTEMIC-LUPUS-ERYTHEMATOSUS; RECURRENT PREGNANCY LOSS; UNPROVOKED VENOUS THROMBOEMBOLISM; INTERNATIONAL CONSENSUS STATEMENT; INTENSITY WARFARIN THERAPY; ARTERIAL ORIGIN ESPRIT; DEEP-VEIN-THROMBOSIS; BONE-DENSITY CHANGES; LOW-DOSE ASPIRIN;
D O I
10.1182/blood-2009-05-220756
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This article discusses how we approach medical decision making in the treatment of the various facets of the antiphospholipid syndrome (APS), including secondary prophylaxis in the setting of venous and arterial thrombosis, as well as treatment for the prevention of recurrent miscarriages and fetal death. The role of primary thromboprophylaxis is also discussed in depth. Great emphasis is given to incorporating the most up-to-date and relevant evidence base both from the APS literature, and from large, recent, randomized controlled trials (RCTs) of primary and secondary thrombotic prophylaxis in the general population setting (ie, the population that has not been specifically investigated for APS). (Blood. 2009; 114: 2020-2030)
引用
收藏
页码:2020 / 2030
页数:11
相关论文
共 122 条
[1]   Antithrombotic and thrombolytic therapy for ischemic stroke [J].
Albers, Gregory W. ;
Amarenco, Pierre ;
Easton, J. Donald ;
Sacco, Ralph L. ;
Teal, Philip .
CHEST, 2008, 133 (06) :630S-669S
[2]  
Amarenco P, 2006, NEW ENGL J MED, V355, P549
[3]   Catastrophic antiphospholipid syndrome: international consensus statement on classification criteria and treatment guidelines [J].
Asherson, RA ;
Cervera, R ;
de Groot, PG ;
Erkan, D ;
Boffa, MC ;
Piette, JC ;
Khamashta, MA ;
Shoenfeld, Y .
LUPUS, 2003, 12 (07) :530-534
[4]   Bone density changes in pregnant women treated with heparin:: a prospective, longitudinal study [J].
Backos, M ;
Rai, R ;
Thomas, E ;
Murphy, M ;
Doré, C ;
Ragan, L .
HUMAN REPRODUCTION, 1999, 14 (11) :2876-2880
[5]   Unprovoked deep vein thrombosis should be treated with long-term anticoagulation - no [J].
Baglin, T. .
JOURNAL OF THROMBOSIS AND HAEMOSTASIS, 2007, 5 (12) :2336-2339
[6]   Venous thromboembolism, thrombophilia, antithrombotic therapy, and pregnancy [J].
Bates, Shannon M. ;
Greer, Ian A. ;
Pabinger, Ingrid ;
Sofaer, Shoshanna ;
Hirsh, Jack .
CHEST, 2008, 133 (06) :844S-886S
[7]   The primary and secondary prevention of coronary artery disease [J].
Becker, Richard C. ;
Meade, Thomas W. ;
Berger, Peter B. ;
Ezekowitz, Michael ;
O'Connor, Christopher M. ;
Vorchheimer, David A. ;
Guyatt, Gordon H. ;
Mark, Daniel B. ;
Harrington, Robert A. .
CHEST, 2008, 133 (06) :776S-814S
[8]   EULAR recommendations for the management of systemic lupus erythematosus. Report of a task force of the EULAR standing committee for international clinical studies including therapeutics [J].
Bertsias, G. ;
Ioannidis, J. P. A. ;
Boletis, J. ;
Bombardieri, S. ;
Cervera, R. ;
Dostal, C. ;
Font, J. ;
Gilboe, I. M. ;
Houssiau, F. ;
Huizinga, T. ;
Isenberg, D. ;
Kallenberg, C. G. M. ;
Khamashta, M. ;
Piette, J. C. ;
Schneider, M. ;
Smolen, J. ;
Sturfelt, G. ;
Tincani, A. ;
van Vollenhoven, R. ;
Gordon, C. ;
Boumpas, D. T. .
ANNALS OF THE RHEUMATIC DISEASES, 2008, 67 (02) :195-205
[9]  
Bousser MG, 2008, LANCET, V371, P315, DOI 10.1016/S0140-6736(08)60168-3
[10]  
Buller HR, 2007, NEW ENGL J MED, V357, P1094