Antiphospholipid syndrome and IgA anti-beta2-glycoprotein I antibodies: when Cinderella becomes a princess

被引:24
作者
Perez, D. [1 ,2 ]
Tincani, A. [3 ]
Serrano, M. [1 ]
Shoenfeld, Y. [2 ]
Serrano, A. [1 ]
机构
[1] Hosp Univ 12 Octubre, Dept Immunol, Avda Andalucia S-N, Madrid 28041, Spain
[2] Sheba Med Ctr, Zabludowicz Ctr Autoimmune Dis, Tel Aviv, Israel
[3] Spedali Civili Brescia, Rheumatol & Clin Immunol Dept, Brescia, Italy
关键词
Anti-B2GPI; APS; thrombosis; antiphospholipid antibodies; laboratory criteria; IgA; SYSTEMIC-LUPUS-ERYTHEMATOSUS;
D O I
10.1177/0961203317738227
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
IgA anti-beta2-glycoprotein I (IgA-aB2GPI) antibodies are currently not included as a laboratory criterion of antiphospholipid syndrome (APS). In the 13th International Congress on Antiphospholipid Antibodies, Galveston, TX, (USA) in 2010, these antibodies were accepted as an APS laboratory criterion in patients who had clinical manifestations of APS but were negative for consensus antiphospholipid antibodies (aPL) (IgG and IgM isotypes). Consequently, individuals with thrombotic events who are negative for consensus aPL may be undiagnosed for APS. The most recent publications have confirmed that IgA-aB2GPI antibodies are a risk factor for thrombotic events. In this viewpoint, we propose that IgA-aB2GPI antibodies should be included as an APS consensus criterion and that we have to help Cinderella become a princess.
引用
收藏
页码:177 / 178
页数:2
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