2013
DOI: 10.1155/2013/159124
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Obstetrical Antiphospholipid Syndrome: From the Pathogenesis to the Clinical and Therapeutic Implications

Abstract: Antiphospholipid syndrome (APS) is an acquired thrombophilia with clinical manifestations associated with the presence of antiphospholipid antibodies (aPL) in patient plasma. Obstetrical APS is a complex entity that may affect both mother and fetus throughout the entire pregnancy with high morbidity. Clinical complications are as various as recurrent fetal losses, stillbirth, intrauterine growth restriction (IUGR), and preeclampsia. Pathogenesis of aPL targets trophoblastic cells directly, mainly via proapopto… Show more

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Cited by 34 publications
(34 citation statements)
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“…There is evidence that APS is the most frequently treatable acquired cause during pregnancy [14], although it is known that the classic form and the obstetric one have different rates of thrombosis [15], response to treatment [16] or follow-up [17]. Those incomplete forms (by meeting neither the clinical nor the laboratory criteria) represent a special challenge for the clinician [18], as there is increasing evidence that patients with low aPL titers can experience poor pregnancy outcomes similarly to high-titer patients [19].…”
Section: Introductionmentioning
confidence: 99%
“…There is evidence that APS is the most frequently treatable acquired cause during pregnancy [14], although it is known that the classic form and the obstetric one have different rates of thrombosis [15], response to treatment [16] or follow-up [17]. Those incomplete forms (by meeting neither the clinical nor the laboratory criteria) represent a special challenge for the clinician [18], as there is increasing evidence that patients with low aPL titers can experience poor pregnancy outcomes similarly to high-titer patients [19].…”
Section: Introductionmentioning
confidence: 99%
“…Antiphospholipid syndrome is linked to both VTE risk and placental insufficiency, leading to a preterm delivery according to the current diagnostic criteria. 19 We were unable to assess the role of antiphospholipid antibodies as a mediating factor in our sample of term births, because a specific ICD-9-CM code does not exist. Furthermore, we observed a very low prevalence of ICD-9-CM codes for systemic lupus erythematosus (0.1% among controls), an important cause of secondary antiphospholipid syndrome, suggesting a minor mediating role or a partial capture of this diagnosis.…”
Section: Discussionmentioning
confidence: 99%
“…29 Nonsteroidal anti-inflammatory drugs (NSAIDs) may inhibit blastocyst implantation and lead to subsequent miscarriage. 30 NSAIDs can also lead to premature closure of the ductus arteriosus, particularly if administered after 32 weeks' gestation.…”
Section: Antiplatelet Therapy In Stemi During Pregnancy 321 | Aspmentioning
confidence: 99%