Inherited thrombophilia in women with poor aPL-related obstetric history : prevalence and outcomes. Survey of 208 cases from the European Registry on Obstetric Antiphospholipid Syndrome cohort

© 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd..

AIM: To analyse the prevalence and effects of inherited thrombophilic disorders (ITD) on maternal-foetal outcomes in cases of antiphospholipid antibody related to obstetric complications.

METHODS: Women with obstetric complaints who tested positive for aPL and with inherited thrombophilia were prospectively and retrospectively included.

RESULTS: ITD data were available in 208 of 338: 147 had obstetric antiphospholipid syndrome (OAPS) and 61 aPL-related obstetric morbidity (OMAPS). 24.1% had ITD. Laboratory categories I and IIa were more related to OAPS-ITD and IIb and IIc to OMAPS-ITD. No significant differences in obstetric complaints were observed. Regarding ITD carriers, treatment rates were higher in OAPS than in OMAPS for LMWH and LDA plus LMWH (P=.002).

CONCLUSION: Cases with aPL-related OAPS/OMAPS showed no differences in maternal-foetal outcomes regardless of the presence of one ITD. Maternal thrombotic risk was low, with ITD-positive cases included. Registry data concur with Sydney criteria, whereby aPL-ITD-positive patients are classified as having antiphospholipid syndrome.

Errataetall:

CommentIn: Am J Reprod Immunol. 2017 Jan;77(1):null. - PMID 27862565

Medienart:

E-Artikel

Erscheinungsjahr:

2016

Erschienen:

2016

Enthalten in:

Zur Gesamtaufnahme - volume:76

Enthalten in:

American journal of reproductive immunology (New York, N.Y. : 1989) - 76(2016), 2 vom: 11. Aug., Seite 164-71

Sprache:

Englisch

Beteiligte Personen:

Alijotas-Reig, Jaume [VerfasserIn]
Ferrer-Oliveras, Raquel [VerfasserIn]
Esteve-Valverde, Enrique [VerfasserIn]
Ruffatti, Amelia [VerfasserIn]
Tincani, Angela [VerfasserIn]
Lefkou, Elmina [VerfasserIn]
Bertero, Maria Tiziana [VerfasserIn]
Espinosa, Gerard [VerfasserIn]
Coloma, Emmanuel [VerfasserIn]
de Carolis, Sara [VerfasserIn]
Rovere-Querini, Patrizia [VerfasserIn]
Canti, Valentina [VerfasserIn]
Picardo, Elisa [VerfasserIn]
Fredi, Micaela [VerfasserIn]
Mekinian, Arsene [VerfasserIn]
EUROAPS Study Group [VerfasserIn]
Kuzenko, Anna [Sonstige Person]
Ruano, Anna [Sonstige Person]
Del Ross, Teresa [Sonstige Person]
Melnychuk, Taisiia [Sonstige Person]
Lundelin, Krista [Sonstige Person]
Llurba, Elisa [Sonstige Person]
Cervera, Ricard [Sonstige Person]
Toth, Bettina [Sonstige Person]
Saez-Comet, Luis [Sonstige Person]
Bremme, Katharina [Sonstige Person]
Mayer-Pickel, Karoline [Sonstige Person]
Gil-Aguado, Antonio [Sonstige Person]

Links:

Volltext

Themen:

Antiphospholipid antibody
Clinical Trial
Inherited thrombophilia
Journal Article
Multicenter Study
Obstetric outcome
Research Support, Non-U.S. Gov't
Thrombosis
Treatment

Anmerkungen:

Date Completed 13.12.2017

Date Revised 03.04.2018

published: Print

CommentIn: Am J Reprod Immunol. 2017 Jan;77(1):null. - PMID 27862565

Citation Status MEDLINE

doi:

10.1111/aji.12534

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM262284952