Lupus & antiphospholipid syndrome

Chronic abdominal aortic occlusive disease related to antiphospholipid syndrome: a rare presentation

RMD OpenPublished Case-control study

Authors' conclusion

The study shed light on the rare occurrence of CAAOD in APS, highlighting the roles of smoking and hyperhomocysteinaemia as notable risk factors.

Study context

Population
aPL-positive patients with arterial thrombotic events, 2013 to 2021
Participants
114 patients
Comparison
Chronic abdominal aortic occlusive disease (CAAOD) vs non-CAAOD in aPL-positive patients with arterial thrombotic events
  • CAAODn = 12

Main finding

As reported in the abstract

  • CAAOD found in 12 of 114 aPL-positive patients with arterial events

Observational data: associations, not effects.

Further findings

Critical smoking habits

P = 0.006

Hyperhomocysteinaemia

P = 0.026

CAAOD characteristics: age and male sex
36.67 · ± 11.83

Radiology in CAAOD

Long-segment infrarenal aorta stenosis, occasionally involving renal and common iliac arteries; from smooth lumen narrowing to total occlusion

Treatment

Interventions or surgery, complementing anticoagulation

Original publication

Chronic abdominal aortic occlusive disease related to antiphospholipid syndrome: a rare presentation. RMD Open. Published 4 January 2024. doi:10.1136/rmdopen-2023-003664

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