Résumé
La présence d’un syndrome des antiphospholipides (SAPL) peut amener un patient à être pris en charge aux urgences ou hospitalisé en unités de soins intensifs du fait des différentes atteintes thrombotiques, des complications obstétricales voire des complications iatrogènes (surdosage en antivitamines K). Surtout, le SAPL peut se présenter sous la forme d’un syndrome catastrophique des antiphospholipides (CAPS), parfois inaugural et dont le pronostic est mauvais en l’absence de traitement adapté. Sa reconnaissance par le médecin urgentiste est donc particulièrement importante. Dans ce chapitre, nous ferons un rappel sur le SAPL puis développerons plus particulièrement le CAPS.
Preview
Unable to display preview. Download preview PDF.
Références
Miyakis S, Lockshin MD, Atsumi T et al. (2006) International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS). J Thromb Haemost 4: 295–306
Frances C, Barete S and Soria A (2012) Manifestations dermatologiques du syndrome des antiphospholipides. Rev Med Interne 33: 200–5
Frances C, Niang S, Laffitte E et al. (2005) Dermatologic manifestations of the antiphospholipid syndrome: two hundred consecutive cases. Arthritis Rheum 52: 1785–93
Frances C, Barete S and Soria A (2011) Manifestations dermatologiques du syndrome des antiphospholipides. Rev Med Interne 33: 200–5
Reiner P, Galanaud D, Leroux G et al. (2011) Long-term outcome of 32 patients with chorea and systemic lupus erythematosus or antiphospholipid antibodies. Mov Disord 26: 2422–7
Reiner P, Piette JC, Leroux G et al. (2012) Choree, lupus et antiphospholipides. Rev Med Interne 33: 206–8
Wilson WA, Gharavi AE, Piette JC (2001) International classification criteria for antiphospholipid syndrome: synopsis of a post-conference workshop held at the Ninth International (Tours) aPL Symposium. Lupus 10: 457–60
Ruiz-Irastorza G, Crowther M, Branch W et al. (2010) Antiphospholipid syndrome. Lancet 376: 1498–509
Costedoat-Chalumeau N, Arnaud L, Saadoun D et al. (2012) Le syndrome catastrophique des antiphospholipides. Rev Med Interne 33: 194–9
Tektonidou MG, Sotsiou F, Nakopoulou L et al. (2004) Antiphospholipid syndrome nephropathy in patients with systemic lupus erythematosus and antiphospholipid antibodies: prevalence, clinical associations, and long-term outcome. Arthritis Rheum 50: 2569–79
Costedoat-Chalumeau N, Guettrot-Imbert G, Leguern V et al. (2012) Grossesse et syndrome des antiphospholipides. Rev Med Interne 33: 209–16
Le Thi Huong D, Wechsler B, Vauthier-Brouzes D et al. (2006) The second trimester Doppler ultrasound examination is the best predictor of late pregnancy outcome in systemic lupus erythematosus and/or the antiphospholipid syndrome. Rheumatology (Oxford) 45: 332–8
Masliah-Planchon J and Darnige L (2012) Anticorps antiphospholipides et hemostase. Rev Med Interne 33: 181–8
M Mazodier K, Arnaud L, Mathian A, et al. (2012) The Lupus Anticoagulant-Hypoprothrombinemia Syndrome. Medicine (Baltimore) 91: 251–60
Ruiz-Irastorza G, Cuadrado MJ, Ruiz-Arruza I et al. (2011) Evidence-based recommendations for the prevention and long-term management of thrombosis in antiphospholipid antibody-positive patients: report of a task force at the 13th International Congress on antiphospholipid antibodies. Lupus 20: 206–18
Pengo V, Ruffatti A, Legnani C et al. (2010) Clinical course of high-risk patients diagnosed with antiphospholipid syndrome. J Thromb Haemost 8: 237–42
Saadoun D, Piette JC, Wahl D et al. (2012) Traitement du syndrome des anticorps antiphospholipides. Rev Med Interne 33: 217–22
Pengo V, Ruiz-Irastorza G, Denas G et al. (2011) High intensity anticoagulation in the prevention of the recurrence of arterial thrombosis in antiphospholipid syndrome: ‘PROS’ and ‘CONS’. Autoimmun Rev
Snaith A, Pugh L, Simpson CR et al. (2008) The potential for interaction between warfarin and coprescribed medication: a retrospective study in primary care. Am J Cardiovasc Drugs 8: 207–12
Lane MA, Devine ST, McDonald JR (2012) High-risk antimicrobial prescriptions among ambulatory patients on warfarin. J Clin Pharm Ther 37: 157–60
Costedoat-Chalumeau N, Amoura Z, Aymard G et al. (2000) Potentiation of vitamin K antagonists by high-dose intravenous methylprednisolone. Ann Intern Med 132: 631–5
Erkan D, Leibowitz E, Berman J, Lockshin MD (2002) Perioperative medical management of antiphospholipid syndrome: hospital for special surgery experience, review of literature, and recommendations. J Rheumatol 29: 843–849
Asherson RA, Cervera R, Piette JC et al. (1998) Catastrophic antiphospholipid syndrome. Clinical and laboratory features of 50 patients. Medicine (Baltimore) 77: 195–207
Bucciarelli S, Cervera R, Espinosa G et al. (2006) Mortality in the catastrophic antiphospholipid syndrome: causes of death and prognostic factors. Autoimmun Rev 6: 72–5
Cervera R, Bucciarelli S, Plasin MA et al. (2009) Catastrophic antiphospholipid syndrome (CAPS): descriptive analysis of a series of 280 patients from the « CAPS Registry ». J Autoimmun 32: 240–5
Asherson RA, Cervera R, de Groot PG et al. (2003) Catastrophic antiphospholipid syndrome: international consensus statement on classification criteria and treatment guidelines. Lupus 12: 530–4
Cervera R, Font J, Gomez-Puerta JA et al. (2005) Validation of the preliminary criteria for the classification of catastrophic antiphospholipid syndrome. Ann Rheum Dis 64: 1205–9
Erkan D, Espinosa G and Cervera R (2010) Catastrophic antiphospholipid syndrome: Updated diagnostic algorithms. Autoimmun Rev 10: 74–9
Amoura Z, Costedoat-Chalumeau N, Veyradier A et al. (2004) Thrombotic thrombocytopenic purpura with severe ADAMTS-13 deficiency in two patients with primary antiphospholipid syndrome. Arthritis Rheum 50: 3260–4
Pauzner R, Greinacher A, Selleng K et al. (2009) False-positive tests for heparin-induced thrombocytopenia in patients with antiphospholipid syndrome and systemic lupus erythematosus. J Thromb Haemost 7: 1070–4
Gomez-Puerta JA, Cervera R, Espinosa G et al. (2007) Catastrophic antiphospholipid syndrome during pregnancy and puerperium: maternal and fetal characteristics of 15 cases. Ann Rheum Dis 66: 740–6
Pasquali JL, Sibilia J, Poindron V et al. (2012) Aspects immunologiques du syndrome des antiphospholipides. Rev Med Interne 33: 189–93
Ortega-Hernandez OD, Agmon-Levin N, Blank M et al. (2009) The physiopathology of the catastrophic antiphospholipid (Asherson’s) syndrome: compelling evidence. J Autoimmun 32: 1–6
Shoenfeld Y, Blank M, Cervera R et al. (2006) Infectious origin of the antiphospholipid syndrome. Ann Rheum Dis 65: 2–6
Sene D, Piette JC and Cacoub P (2009) Anticorps antiphospholipide, syndrome des anticorps antiphospholipides et infections virales. Rev Med Interne 30: 135–41
Espinosa G, Cervera R and Asherson RA (2007) Catastrophic antiphospholipid syndrome and sepsis. A common link? J Rheumatol 34: 923–6
Cervera R and Group CRP (2010) Catastrophic antiphospholipid syndrome (CAPS): update from the ‘CAPS Registry’. Lupus 19: 412–8
Lacueva J, Enriquez R, Cabezuelo JB et al. (1993) Acute renal failure as first clinical manifestation of the primary antiphospholipid syndrome. Nephron 64: 479–80
Nochy D, Daugas E, Droz D et al. (1999) The intrarenal vascular lesions associated with primary antiphospholipid syndrome. J Am Soc Nephrol 10: 507–18
Bucciarelli S, Espinosa G, Asherson RA et al. (2006) The acute respiratory distress syndrome in catastrophic antiphospholipid syndrome: analysis of a series of 47 patients. Ann Rheum Dis 65: 81–6
Leroux G, Sellam J, Costedoat-Chalumeau N et al. (2008) Posterior reversible encephalopathy syndrome during systemic lupus erythematosus: four new cases and review of the literature. Lupus 17: 139–47
Erkan D, Patel S, Nuzzo M et al. (2008) Management of the controversial aspects of the antiphospholipid syndrome pregnancies: a guide for clinicians and researchers. Rheumatology (Oxford) (47 Suppl 3): iii23–7
Dessailloud R, Papo T, Vaneecloo S et al. (1998) Acalculous ischemic gallbladder necrosis in the catastrophic antiphospholipid syndrome. Arthritis Rheum 41: 1318–20
Papo T, Le Thi Huong D, Godeau P et al. (1997) Pancréatites et maladies systémiques. Gastroenterol Clin Biol: 768–75
Espinosa G, Santos E, Cervera R et al. (2003) Adrenal involvement in the antiphospholipid syndrome: clinical and Immunologic characteristics of 86 patients. Medicine (Baltimore) 82: 106–18
Cervera R, Bucciarelli S, Plasin MA et al. (2009) Catastrophic antiphospholipid syndrome (CAPS): descriptive analysis of a series of 280 patients from the « CAPS Registry ». J Autoimmun 32: 240–5
Bayraktar UD, Erkan D, Bucciarelli S et al. (2007) The clinical spectrum of catastrophic antiphospholipid syndrome in the absence and presence of lupus. J Rheumatol 34: 346–52
Erkan D, Asherson RA, Espinosa G et al. (2003) Long term outcome of catastrophic antiphospholipid syndrome survivors. Ann Rheum Dis 62: 530–3
Cervera R (2010) Update on the diagnosis, treatment, and prognosis of the catastrophic antiphospholipid syndrome. Curr Rheumatol Rep 12: 70–6
Asherson RA, Espinosa G, Menahem S et al. (2008) Relapsing catastrophic antiphospholipid syndrome: report of three cases. Semin Arthritis Rheum 37: 366–72
Iglesias-Jimenez E, Camacho-Lovillo M, Falcon-Neyra D et al. (2010) Infant with probable catastrophic antiphospholipid syndrome successfully managed with rituximab. Pediatrics 125: e1523–8
Espinosa G, Berman H, Cervera R (2011) Management of refractory cases of catastrophic antiphospholipid syndrome. Autoimmun Rev 10: 664–8
Lonze BE, Singer AL, Montgomery RA (2010) Eculizumab and renal transplantation in a patient with CAPS. N Engl J Med 362: 1744–5
Repesse X, Freund Y, Mathian A et al. (2010) Successful extracorporeal membrane oxygenation for refractory cardiogenic shock due to the catastrophic antiphospholipid syndrome. Ann Intern Med 153: 487–8
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
Copyright information
© 2013 Springer-Verlag Paris
About this chapter
Cite this chapter
Costedoat-Chalumeau, N., Geri, G., Piette, JC. (2013). Syndrome des antiphospholipides. In: Maladies rares en médecine d’urgence. Références en médecine d’urgence. Collection de la SFMU. Springer, Paris. https://doi.org/10.1007/978-2-8178-0350-0_15
Download citation
DOI: https://doi.org/10.1007/978-2-8178-0350-0_15
Publisher Name: Springer, Paris
Print ISBN: 978-2-8178-0349-4
Online ISBN: 978-2-8178-0350-0
eBook Packages: MedicineMedicine (R0)