Mortality in the catastrophic antiphospholipid syndrome:: Causes of death and prognostic factors

被引:64
作者
Bucciarelli, Silvia [1 ]
Cervera, Ricard [1 ]
Espinosa, Gerard [1 ]
Gomez-Puerta, Jose A. [1 ]
Ramos-Casals, Manuel [1 ]
Font, Josep [1 ]
机构
[1] Hosp Clin Barcelona, Serv Malalties Autoimmunes, Dept Autoimmune Dis, Inst Clin Med & Dermatol, E-08036 Barcelona, Spain
关键词
D O I
10.1016/j.autrev.2006.06.007
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
In order to know the causes of death and the prognostic factors, our group analyzed 250 patients included until February 2005 in the web-site based international registry of patients with catastrophic antiphosphopholipid syndrome (APS) ("CAPS Registry") (http://www.med.ub.es/MIMMUN/FORUM/CAPS.HTM). Cerebral involvement, mainly consisting of stroke, followed by cardiac involvement and infections were considered the main causes of death in patients with catastrophic APS. The presence of systemic lupus erythematosus was related with higher mortality. According to the results of this analysis, anticoagulation plus steroids plus plasma exchange should be the first line of therapy in patients with catastrophic APS. (c) 2006 Elsevier B.V. All rights reserved.
引用
收藏
页码:72 / 75
页数:4
相关论文
共 6 条
[1]   Catastrophic antiphospholipid syndrome -: Clinical and laboratory features of 50 patients [J].
Asherson, RA ;
Cervera, R ;
Piette, JC ;
Font, J ;
Lie, JT ;
Burcoglu, A ;
Lim, K ;
Muñoz-Rodríguez, FJ ;
Levy, RA ;
Boué, F ;
Rossert, J ;
Ingelmo, M .
MEDICINE, 1998, 77 (03) :195-207
[2]   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
[3]  
ASHERSON RA, 1992, J RHEUMATOL, V19, P508
[4]   Catastrophic antiphospholipid syndrome -: Clues to the pathogenesis from a series of 80 patients [J].
Asherson, RA ;
Cervera, R ;
Piette, JC ;
Shoenfeld, Y ;
Espinosa, G ;
Petri, MA ;
Lim, E ;
Lau, TC ;
Gurjal, A ;
Jedryka-Góral, A ;
Chwalinska-Sadowska, H ;
Dibner, RJ ;
Rojas-Rodriguez, J ;
Garcia-Carrasco, M ;
Grandone, JT ;
Parke, AL ;
Barbosa, P ;
Vasconcelos, C ;
Ramos-Casals, M ;
Font, J ;
Ingelmo, M .
MEDICINE, 2001, 80 (06) :355-377
[5]  
BUCCIARELLI S, IN PRESS ARTHRITIS R
[6]   Antiphospholipid syndrome -: Clinical and immunologic manifestations and patterns of disease expression in a cohort of 1,000 patients [J].
Cervera, R ;
Piette, JC ;
Font, J ;
Khamashta, MA ;
Cervera, R ;
Piette, JC ;
Font, J ;
Khamashta, MA ;
Shoenfeld, Y ;
Camps, MT ;
Jacobsen, S ;
Lakos, G ;
Tincani, A ;
Kontopoulou-Griva, I ;
Galeazzi, M ;
Meroni, PL ;
Derksen, RHWM ;
de Groot, PG ;
Gromnica-Ihle, E ;
Baleva, M ;
Mosca, M ;
Bombardieri, S ;
Houssiau, F ;
Gris, JC ;
Quéré, I ;
Hachulla, E ;
Vasconcelos, C ;
Roch, B ;
Fernández-Nebro, A ;
Boffa, MC ;
Hughes, GRV ;
Ingelmo, M .
ARTHRITIS AND RHEUMATISM, 2002, 46 (04) :1019-1027