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http://dx.doi.org/10.1016/j.medcli.2011.02.014DOI Listing

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Article Synopsis
  • The study explored the link between anti-prothrombin IgM and IgG antibodies and recurrent pregnancy loss (RPL) among 207 Lebanese women with RPL compared to 179 controls.
  • Results showed that women with RPL had significantly higher levels of these antibodies, indicating they are associated with an increased risk of RPL.
  • The findings support the need for screening for anti-prothrombin antibodies in women experiencing unexplained RPL to help improve treatment and management strategies.
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Article Synopsis
  • Systemic Lupus Erythematosus (SLE) often coexists with antiphospholipid syndrome, leading to blood clotting issues or complications in pregnancy, as illustrated by a case of a 7-year-old girl experiencing fever, bleeding, and thrombophlebitis.
  • The child presented with symptoms like gum bleeding, small skin lesions, and abnormal blood coagulation tests, prompting further investigation for an autoimmune disorder.
  • Ultimately, she was diagnosed with Systemic Lupus Erythematosus and Lupus Anticoagulant Hypoprothrombinemia Syndrome after confirming the presence of specific antibodies and coagulation abnormalities.
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Objectives: Primary antiphospholipid syndrome (PAPS) is an autoimmune disorder characterized by thrombosis and pregnancy morbidity. Although PAPS is distinct from systemic lupus erythematosus (SLE), the two conditions share clinical features and susceptibility genes. Progression from PAPS to SLE is well-recognized.

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Background: Life-long vitamin K antagonist (VKA) therapy is recommended as a standard of care in antiphospholipid syndrome (APS) patients with thrombosis. Concerns have been raised about the validity of international normalized ratio (INR) measurements in lupus anticoagulant (LA)-positive APS patients because LA may interfere with phospholipid-dependent coagulation tests and could elevate INR measurements.

Objectives: Here, we aimed to determine the interference of antigen-specific monoclonal and isolated patient antibodies with LA activity on INR measurements.

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Understanding the difference between type I and type II antiprothrombin antibodies and their effect on activated protein C resistance.

J Thromb Haemost

October 2024

Thrombosis Research Laboratory, Department of Cardiac-Thoracic-Vascular Sciences and Public Health, University of Padova, Padua, Italy; Arianna Foundation on Anticoagulation, Bologna, Italy. Electronic address:

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