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Treatment of antiphospholipid syndrome

Authors
Doruk Erkan, MD, MPH
Thomas L Ortel, MD, PhD
Section Editor
David S Pisetsky, MD, PhD
Deputy Editors
Monica Ramirez Curtis, MD, MPH
Jennifer S Tirnauer, MD

INTRODUCTION

Antiphospholipid syndrome (APS) is a systemic autoimmune disease characterized by venous or arterial thrombosis and/or pregnancy loss in the presence of persistent expression over time of antiphospholipid antibodies (aPL). APS can occur as a primary condition, or it can occur in the presence of systemic lupus erythematosus (SLE) or another systemic autoimmune disease.

The major treatment issues in APS include the treatment of acute thromboembolic manifestations, the choice of anticoagulation, and the duration of anticoagulation. Other related issues include the prevention of first thrombosis among patients with aPL who do not meet criteria for APS. The treatment considerations related to non-obstetric APS, as well as the management of catastrophic APS (CAPS), will be reviewed here.

Separate topic reviews discuss the pathogenesis, clinical manifestations, and diagnosis of APS, as well as the management of APS during pregnancy and renal manifestations of APS, and other associated conditions such as SLE.

Pathogenesis of APS (see "Pathogenesis of antiphospholipid syndrome")

Clinical manifestations of APS (see "Clinical manifestations of antiphospholipid syndrome")

                                     
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Literature review current through: Nov 2017. | This topic last updated: Nov 29, 2017.
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