An Approach to Differential Diagnosis of Antiphospholipid Antibody Syndrome and Related Conditions

The antiphospholipid antibody syndrome is a systemic, acquired, immune-mediated disorder characterized by episodes of venous, arterial, or microcirculation thrombosis and/or pregnancy abnormalities, associated with the persistent presence of autoantibodies, confirmed at least in two occasions 12 wee...

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Main Authors: Giacomo Emmi, Elena Silvestri, Danilo Squatrito, Lucia Ciucciarelli, Anna Maria Cameli, Gentian Denas, Mario Milco D’Elios, Vittorio Pengo, Lorenzo Emmi, Domenico Prisco
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/341342
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author Giacomo Emmi
Elena Silvestri
Danilo Squatrito
Lucia Ciucciarelli
Anna Maria Cameli
Gentian Denas
Mario Milco D’Elios
Vittorio Pengo
Lorenzo Emmi
Domenico Prisco
author_facet Giacomo Emmi
Elena Silvestri
Danilo Squatrito
Lucia Ciucciarelli
Anna Maria Cameli
Gentian Denas
Mario Milco D’Elios
Vittorio Pengo
Lorenzo Emmi
Domenico Prisco
author_sort Giacomo Emmi
collection DOAJ
description The antiphospholipid antibody syndrome is a systemic, acquired, immune-mediated disorder characterized by episodes of venous, arterial, or microcirculation thrombosis and/or pregnancy abnormalities, associated with the persistent presence of autoantibodies, confirmed at least in two occasions 12 weeks apart, directed to molecular complexes consisting of phospholipids and proteins. Antiphospholipid antibody syndrome should always be considered as a potential diagnosis especially for young patients presenting with a history of thrombotic events, in particular when they occur without any obvious external trigger or any inherited thrombophilic mutation (even if 2006 criteria do not exclude antiphospholipid antibody syndrome in patients with other inherited or acquired prothrombotic conditions), or for women with recurrent pregnancy losses or later fetal deaths. Many other disorders are able to mimic antiphospholipid antibody syndrome, so a broad range of alternative diagnoses should be investigated and ruled out during clinical workup.
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language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-9cd95d90cf4e4a59bdb1338b51c2abb72025-08-20T02:20:19ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/341342341342An Approach to Differential Diagnosis of Antiphospholipid Antibody Syndrome and Related ConditionsGiacomo Emmi0Elena Silvestri1Danilo Squatrito2Lucia Ciucciarelli3Anna Maria Cameli4Gentian Denas5Mario Milco D’Elios6Vittorio Pengo7Lorenzo Emmi8Domenico Prisco9Department of Experimental and Clinical Medicine, University of Florence, 50134 Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, 50134 Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, 50134 Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, 50134 Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, 50134 Florence, ItalyDepartment of Cardiac Thoracic and Vascular Sciences, University of Padua, 35128 Padua, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, 50134 Florence, ItalyDepartment of Cardiac Thoracic and Vascular Sciences, University of Padua, 35128 Padua, ItalySOD Patologia Medica, Center for Autoimmune Systemic Diseases, Behçet Center and Lupus Clinic, AOU Careggi Hospital, 50134 Florence, ItalyDepartment of Experimental and Clinical Medicine, University of Florence, 50134 Florence, ItalyThe antiphospholipid antibody syndrome is a systemic, acquired, immune-mediated disorder characterized by episodes of venous, arterial, or microcirculation thrombosis and/or pregnancy abnormalities, associated with the persistent presence of autoantibodies, confirmed at least in two occasions 12 weeks apart, directed to molecular complexes consisting of phospholipids and proteins. Antiphospholipid antibody syndrome should always be considered as a potential diagnosis especially for young patients presenting with a history of thrombotic events, in particular when they occur without any obvious external trigger or any inherited thrombophilic mutation (even if 2006 criteria do not exclude antiphospholipid antibody syndrome in patients with other inherited or acquired prothrombotic conditions), or for women with recurrent pregnancy losses or later fetal deaths. Many other disorders are able to mimic antiphospholipid antibody syndrome, so a broad range of alternative diagnoses should be investigated and ruled out during clinical workup.http://dx.doi.org/10.1155/2014/341342
spellingShingle Giacomo Emmi
Elena Silvestri
Danilo Squatrito
Lucia Ciucciarelli
Anna Maria Cameli
Gentian Denas
Mario Milco D’Elios
Vittorio Pengo
Lorenzo Emmi
Domenico Prisco
An Approach to Differential Diagnosis of Antiphospholipid Antibody Syndrome and Related Conditions
The Scientific World Journal
title An Approach to Differential Diagnosis of Antiphospholipid Antibody Syndrome and Related Conditions
title_full An Approach to Differential Diagnosis of Antiphospholipid Antibody Syndrome and Related Conditions
title_fullStr An Approach to Differential Diagnosis of Antiphospholipid Antibody Syndrome and Related Conditions
title_full_unstemmed An Approach to Differential Diagnosis of Antiphospholipid Antibody Syndrome and Related Conditions
title_short An Approach to Differential Diagnosis of Antiphospholipid Antibody Syndrome and Related Conditions
title_sort approach to differential diagnosis of antiphospholipid antibody syndrome and related conditions
url http://dx.doi.org/10.1155/2014/341342
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