Abstract
Interference of antiphospholipid antibodies (aPL) with coagulation was investigated in 40 aPL-patients (24 with thrombosis) using thrombography. Impairment of the activated protein C anticoagulant pathway was partially offset by the genuine anticoagulant effect. The net result, a procoagulant phenotype, was associated with a 7-fold increased risk of thrombosis in aPL-patients.
MeSH terms
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Activated Protein C Resistance / blood
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Activated Protein C Resistance / immunology
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Adult
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Aged
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Antibodies, Antiphospholipid / immunology
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Antiphospholipid Syndrome / blood*
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Antiphospholipid Syndrome / complications
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Antiphospholipid Syndrome / immunology
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Female
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Humans
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Inhibitory Concentration 50
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Lupus Coagulation Inhibitor / immunology*
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Male
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Middle Aged
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Risk
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Thrombophilia / blood*
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Thrombophilia / etiology
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Thrombophilia / immunology
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Thrombosis / epidemiology*
Substances
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Antibodies, Antiphospholipid
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Lupus Coagulation Inhibitor