Questions discussed in this category
The patient has no known history of autoimmune disease.
(e.g. beta 2 glycoprotein IgM > 20 but <40)
How would the approach differ if the patient had a significant bleeding phenotype vs only minor bruising and mucosal bleeding?
This type of etoposide sparing therapy has been previously described in a case series at https://pubmed.ncbi.nlm.nih.gov/32725881/
Would the answer differ if the index event was arterial vs venous?
If so, how long after diagnosis do you do so?
Does treatment with B-cell depletion and/or negative anti-spike antibody status despite COVID mRNA vaccination influence your decision?
Do you routinely check IgA anticardiolipin and beta-2 glycoprotein antibody IgA in your practice? And how would a positive result change your manageme...
e.g. DITP from eptifibatide after a cardiac intervention
i.e. obstretric APS without thrombosis or SLE
Would chemotherapy be preferred over RT?
What if the patient is triple-positive or has continued seropositivity on repeat lab testing? What is the appropriate interval of monitoring and does ...
While low-dose aspirin for primary thrombosis prevention in aPL without APS is not typically recommended outside cardiovascular prevention guidelines ...
There are multiple difficulties that could be seen: steroids can precipitate a sickle cell crisis, vasculitis and sickle cell can produce similar clin...
Do you follow the 2019 EULAR Guidelines that SLE patients with asymptomatic, positive aPL should be on low-dose ASA?
What if this was "triple-negative" antiphospholipid syndrome?
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Papers discussed in this category
Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis, 2016-04
Blood, 2018 Jul 12
Ann. Intern. Med., 2019 Oct 15
JAMA network open, 2018-11-02
The journal of allergy and clinical immunology. In practice, 2017
Journal of thrombosis and haemostasis : JTH, 2018-06-07
Rheumatol Int, 2019 Apr 30
Clin Exp Rheumatol, 2012 Sep 25
Wien Klin Wochenschr,
J Rheumatol, 2006 Jul 01
Semin Arthritis Rheum,
Ann Rheum Dis,
Arthritis Rheumatol, 2019 Dec 26
Rheumatology (Oxford),
Rheumatology (Oxford), 2019 Mar 05
Chest, 2021 Feb
Semin Hematol,
Thromb Res, 2021 Jun 25
Lancet Haematol,
Arthritis care & research, 2018-10
Current rheumatology reports, 2018-09-10
Nat Rev Cardiol, 2019 Jun 26
Arthritis Rheum,
Thromb Haemost, 2020 Jul 21
Autoimmun Rev, 2017 Sep 09
Lupus, 2021 May 27