Lupus & antiphospholipid syndrome

Patients with laboratory criteria of anti-phospholipid syndrome and ‘non-criteria’ manifestations: a multicenter cohort

Scand J RheumatolPublished Retrospective cohort study

Main finding · ThrombocytopeniaResult — go to the resultOdds ratio 3.6 95% CI 1.7–7.6

Authors' conclusion

'Clinical non-criteria' patients displayed significant treatment use, predominantly haematological involvement, and less severe manifestations than definite APS controls.

Study context

Population
Individuals fulfilling anti-phospholipid syndrome (APS) laboratory criteria in two tertiary European hospitals, 2005–2020
Exposure
Clinical non-criteria APS vs age-/gender-matched definite APS controls
  • Clinical non-criterian = 75
Outcome
Thrombocytopenia
Methodological detailsmulticentre, age-/gender-matched controls
  • Multicentre
  • Age-/gender-matched controls

Main finding

As reported in the abstract

Odds ratio

3.6

95% CI 1.7–7.6

P = 0.001

Clinical non-criteriavs Definite APS
OR 3.6 (95% CI 1.7–7.6); P = 0.001

Observational data: associations, not effects.

Further findings

OutcomeP value
Valvular heart diseaseDefinite APS vs Clinical non-criteria · occurred only in definite APSP < 0.001

Valvular heart disease

Livedoid vasculopathy, seizures, chorea, transverse myelitis, bone necrosis and alveolar haemorrhage occurred only in definite APS

GC use in patients with thrombocytopenia

Corticosteroids required
40%

Suspected progression to systemic lupus erythematosus (SLE) in non-SLE individuals

Suspicion of progression towards SLE
19%

Manifestations in anticoagulated patients

White-matter lesions, nephropathy, superficial vein thrombosis, amaurosis fugax and livedoid vasculopathy

Original publication

Patients with laboratory criteria of anti-phospholipid syndrome and ‘non-criteria’ manifestations: a multicenter cohort. Scand J Rheumatol. Published 20 June 2022. doi:10.1080/03009742.2022.2082114

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