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Internal and Emergency Medicine

, Volume 12, Issue 1, pp 1–7 | Cite as

Novel diagnostic and therapeutic frontiers in thrombotic anti-phospholipid syndrome

  • Savino Sciascia
  • Massimo Radin
  • Mario Bazzan
  • Dario Roccatello
POINTS OF VIEW

Abstract

The anti-phospholipid syndrome (APS) is an autoimmune disorder characterized by vascular thrombosis and/or pregnancy morbidity, associated with a persistent positivity for anti-phospholipid antibodies (aPL). The current classification criteria for APS include three laboratory tests: lupus anti-coagulant (LA), anti-cardiolipin (aCL), and anti-β2 glycoprotein-I (β2GPI). To date, the therapeutic approach for thrombotic APS mainly centers on long-term anti-coagulation with a vitamin K antagonist (VKA). APS management may represent a challenge for the treating physicians. Patients with different aPL profiles need a tailored risk-stratified approach. Moreover, in patients with recurrent thrombotic events despite therapy with VKA, or in those with microvascular involvement, new therapeutic options are highly needed. In this review, we aim to elucidate recent findings about new aPL specifities, available risk scoring models, and novel therapeutic approaches in APS management.

Keywords

APS Thrombosis Pregnancy morbidity aPL 

Notes

Compliance with ethical standards

Conflict of interest

The Authors declare that they have no conflict of interest.

Statement of human and animal rights

Not applicable.

Informed consent

Not applicable.

Funding

None declared.

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Copyright information

© SIMI 2017

Authors and Affiliations

  • Savino Sciascia
    • 1
    • 2
  • Massimo Radin
    • 1
  • Mario Bazzan
    • 3
  • Dario Roccatello
    • 1
    • 2
  1. 1.Department of Clinical and Biological Sciences, Center of Research of Immunopathology and Rare Diseases, Coordinating Center of Piemonte and Valle d’Aosta Network for Rare DiseasesS. Giovanni Bosco HospitalTurinItaly
  2. 2.SCDU Nephrology and DialysisS. Giovanni Bosco HospitalTurinItaly
  3. 3.UOSD Hematology and Thrombosis UnitS. Giovanni Bosco HospitalTurinItaly

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