抗磷脂抗体综合征

Jyoti R. Parida , Durga Prasanna Misra , Anupam Wakhlu , Vikas Agarwal
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引用次数: 0

摘要

抗磷脂抗体综合征(APS)的特点是反复妊娠丢失和/或血栓形成事件(动脉和静脉)与狼疮抗凝血或抗磷脂抗体持续阳性。抗心磷脂-β2GP-1复合物激活补体、血小板和内皮细胞在血栓形成的发病机制中起重要作用。治疗是抗凝(华法林/肝素),在出现灾难性APS或细胞减少时需要类固醇。多达三分之一的患者可能有显著的长期发病率。
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Antiphospholipid antibody syndrome

Antiphospholipid antibody syndrome (APS) is characterized by recurrent pregnancy losses and/or thrombotic events (both arterial and venous) with persistently positive lupus anticoagulant or antiphospholipid antibodies. Activation of complements, platelets and endothelial cells by the anticardiolipin-β2GP-1 complex plays a major role in pathogenesis of thrombosis. Treatment is with anticoagulation (warfarin/heparin), with steroids needed in the presence of catastrophic APS or cytopenias. Upto a third of patients may have significant long term morbidity.

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