Lupus & antiphospholipid syndrome

Profile and clinical relevance of non-criteria antiphospholipid antibodies in patients diagnosed with or highly suspected of APS

Rheumatology (Oxford)Published Cross-sectional study

Authors' conclusion

The prevalence of non-criteria aPLs differed from diagnostic biomarkers in patients diagnosed with or suspected of APS. Detection of aPLs provided additive value in the evaluation of APS-related clinical manifestations.

Study context

Population
Outpatients diagnosed with or highly suspected of APS, from a prospectively maintained database, and healthy controls16 non-criteria aPLs tested
Participants
168 / 9 / 15 / 39 / 88
Exposure
Non-criteria aPLs across APS, seronegative APS (SNAPS), only-event, asymptomatic APA and healthy controls
  • APSn = 168
  • SNAPSn = 9
  • Only-eventn = 15
  • Asymptomatic APAn = 39
  • Healthy controlsn = 88reference
Outcome
Positivity of non-criteria aPLs and relevance to clinical phenotypes
Methodological detailsprospectively maintained database, outpatient cases
  • Prospectively maintained database
  • Outpatient cases

Main finding

As reported in the abstract

Criteria aPL positivity (LA, aCL, anti-β2 glycoprotein-I)

LA

aCL

anti-β2 glycoprotein-I

Patients negative for criteria serological tests positive for ≥1 non-criteria aPL
23 out of 24

Observational data: associations, not effects.

Original publication

Profile and clinical relevance of non-criteria antiphospholipid antibodies in patients diagnosed with or highly suspected of APS. Rheumatology (Oxford). Published 29 June 2023. doi:10.1093/rheumatology/kead303

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