Update on anti-phospholipid antibodies in SLE: the Hopkins' Lupus Cohort

被引:61
作者
Petri, M. [1 ]
机构
[1] Johns Hopkins Univ, Sch Med, Div Rheumatol, Baltimore, MD 21205 USA
关键词
anti-cardiolipin antibodies; anti-phospholipid syndrome; lupus anticoagulant; VENOUS THROMBOSIS; ENDOTHELIAL-CELLS; ERYTHEMATOSUS; ANTICOAGULANT; RISK;
D O I
10.1177/0961203309360541
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Anti-phospholipid antibodies are common in patients in the Hopkins' Lupus Cohort: 47% have anti-cardiolipin, 32.5% anti-beta(2)- glycoprotein I and 26% lupus anticoagulant (by dRVVT confirmatory testing). Systemic lupus erythematosus patients with the lupus anticoagulant at baseline have a 50% chance of a deep venous thrombosis/pulmonary embolus in the next 20 years. Anti-phospholipid antibodies differ in their association with thrombosis: the lupus anticoagulant is most strongly associated with arterial and venous thrombosis and is the only anti-phospholipid antibody associated with myocardial infarction. Anti-phospholipid antibodies are not associated with atherosclerosis. Lupus (2010) 19, 419-423.
引用
收藏
页码:419 / 423
页数:5
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