Lupus & antiphospholipid syndrome

Budd Chiari syndrome associated with antiphospholipid syndrome: Clinical characteristics and prognosis of 17 patients from single center

LupusPublished Retrospective descriptive study

Authors' conclusion

APS patients with BCS may have a higher risk of recurrent thrombosis and mortality.

Study context

Population
Patients with thrombotic antiphospholipid syndrome (APS) ± systemic lupus erythematosus (SLE), single centre, 1982–2023thrombotic APS
Participants
194 patients
Exposure
APS with Budd-Chiari syndrome (BCS) vs non-BCS vascular thrombotic APS
  • BCSn = 17
Outcome
Recurrent thrombosis
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

Recurrent thrombosis

Higher adjusted global APS score (aGAPSS) in BCS vs non-BCS

Second prothrombotic factor among BCS patients

Second prothrombotic factor detected
6
Heterozygous factor V Leiden mutation
3
Pregnancy period
3
SLE flare
2

BCS as first thrombotic event

BCS was the first thrombotic event
8
Of these, recurrent thrombosis
3

Damage (damage index for APS (DIAPS)) and mortality

DIAPS similar in BCS and non-BCS
Higher mortality in BCS

Original publication

Budd Chiari syndrome associated with antiphospholipid syndrome: Clinical characteristics and prognosis of 17 patients from single center. Lupus. Published 21 March 2025. doi:10.1177/09612033251330082

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