Lupus & antiphospholipid syndrome

Longitudinal observation of thrombotic events in patients with obstetric antiphospholipid syndrome

LupusPublished Retrospective cohort study

Authors' conclusion

Thrombotic events may occur in OAPS patients even decades after diagnosis of OAPS, particularly in those with high-risk aPL profiles and conventional thrombotic risk factors.

Study context

Population
Female patients with antiphospholipid syndrome (APS) and obstetric manifestations diagnosed at Hokkaido University Hospital, 2004–202447 female APS patients
Participants
23 / 24 / 4 / 9
Exposure
APS with vs without history of thrombosis at diagnosis; Obstetric antiphospholipid syndrome (OAPS) cases with new thrombotic events vs event-free controls >10 years
  • Thromboticn = 23
  • Non-thromboticn = 24reference
  • Casesn = 4
  • Controlsn = 9reference
Outcome
Long-term thrombotic outcomes in OAPS initially without thrombosis
Methodological detailssingle-centre, cross-sectional comparison, nested case-control study
  • Single-centre
  • Cross-sectional comparison
  • Nested case-control study

Main finding

As reported in the abstract

First thrombotic event during long-term follow-up in OAPS without prior thrombosis · median of 16 years after the diagnosis

Non-thrombotic

4

events

Observational data: associations, not effects.

Further findings

OutcomeThromboticNon-thromboticP value
Prevalence of SLEThrombotic vs Non-thrombotic74%40%P = 0.019, Fisher's exact test

Triple aPL positivity and conventional thrombotic risk factors

More frequent among cases than controls

Original publication

Longitudinal observation of thrombotic events in patients with obstetric antiphospholipid syndrome. Lupus. Published 23 June 2026. doi:10.1177/09612033261464227

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