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Catastrophic Antiphospholipid Syndrome

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Autoimmune Diseases

Abstract

Antiphospholipid syndrome (APS) is characterized by the development of arterial and/or venous thrombosis and/or pregnancy morbidity in the presence of antiphospholipid antibodies (aPL) anticardiolipin (aCL), anti-β2-glycoprotein I (anti-β2GPI), and lupus anticoagulant (LA). Catastrophic antiphospholipid syndrome (CAPS) is a very severe variant of the classic APS, with predominant and extensive small-vessels occlusion that causes multiple organs thrombosis. Multiple thrombotic events occur in a short period of time and frequently lead to a life-threatening condition because of multiorgan failure. The mortality rate is high, but an early diagnosis and treatment with anticoagulation, corticosteroids, plasma exchange, and intravenous immunoglobulin (IVIG) may reduce this rate.

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Correspondence to Maria J. Cuadrado .

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Cuadrado, M.J., Sanna, G., Bertolaccini, M.L., Khamashta, M.A. (2011). Catastrophic Antiphospholipid Syndrome. In: Khamashta, M., Ramos-Casals, M. (eds) Autoimmune Diseases. Springer, London. https://doi.org/10.1007/978-0-85729-358-9_3

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  • DOI: https://doi.org/10.1007/978-0-85729-358-9_3

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