ANTIFOSFOLIPID SINDROM PDF
Patogenesis. Sindrom antibodi antifosfolipid merupakan gangguan autoimun yang ditandai dengan antibodi dalam sirkulasi yang melawan fosfolipid membran. SAPPORO CRITERIA Sindrom antifosfolipid haruslah memenuhi kriteria yang diputuskan oleh para ahli pada simposium internasional ke-8 tentang antibodi. Posts – See Instagram photos and videos from ‘antifosfolipid’ hashtag. ➡ ️Antifosfolipid sindrom və hamiləlik⬅ Antifosfolipid sindrom venoz və ya arterial .
|Published (Last):||9 March 2012|
|PDF File Size:||16.21 Mb|
|ePub File Size:||8.5 Mb|
|Price:||Free* [*Free Regsitration Required]|
Sinfrom management of venous or arterial thrombosis in patients with APS is no different from that of other patients with similar complications. Antiphospholipid syndrome or antiphospholipid antibody syndrome APS or APLSis an autoimmunehypercoagulable state caused by antiphospholipid antibodies. Views Read Edit View history.
In pregnant women affected by APS, there is an increased risk of recurrent miscarriageintrauterine growth restrictionand preterm birth.
This will require adrenal steroid replacement treatment for life. Antiphospholipid syndrome Synonyms Hughes syndrome  Micrograph showing an advanced thrombotic microangiopathyas may be seen in ALPA syndrome. This is to prevent patients with transient positive tests due to infection etc. Monitoring IV anticoagulant therapy by the APTT ratio is compromised due to the effects of the lupus anticoagulant and in these situations is generally best performed using a chromogenic assay based on the inhibition of factor Xa by antithrombin in the presence of heparin.
Antiphospholipid syndrome was described in full in the s, by Nigel Harris and Aziz Gharavi. Thomas’ HospitalLondonUKwho brought together the team. The presence of antiphospholipid antibodies aPL in sijdrom absence of blood clots or pregnancy-related complications does not indicate APS see below for the diagnosis of APS. This is tested for by using a minimum of two coagulation tests that are phospholipid-sensitive, due to the heterogeneous nature of the lupus anticoagulant antibodies.
Coagulopathies Rheumatology Autoimmune diseases Neurological disorders Obstetrics Syndromes affecting blood Syndromes affecting the nervous system. The relationship of APA to thrombosis and pregnancy loss is unknown. Thus, anti-annexin A5 antibodies increase phospholipid-dependent coagulation steps.
Sindroom rare cases, APS leads to rapid organ failure due to generalised thrombosis; this is termed ” catastrophic antiphospholipid syndrome ” CAPS or Asherson syndrome and is associated with a high risk of death. D ICD – Distinguishing a lupus antibody from a specific coagulation factor inhibitor e. Annexin A5 forms a shield around negatively charged phospholipid molecules, thus reducing their availability for coagulation. This page was last edited on 17 Novemberat Antiphospholipid Syndrome Sindrom Antibodi Antifosfolipid.
The increased risks of recurrent miscarriageintrauterine growth restriction and preterm birth by antiphospholipid antibodies, as supported by in vitro studies, include decreased trophoblast viability, syncytialization and invasion, deranged production of hormones and signalling molecules by trophoblasts, as well as activation of coagulation and complement pathways.
Lupus anticoagulant LAC antibodies bind to prothrombinthus increasing its cleavage to thrombinits active form. Presence of genetic thrombophilia may determine the need for anticoagulation therapy. Anticoagulation appears to prevent miscarriage in pregnant women. Antiphospholipid syndrome is tested for antifosfoilpid the laboratory using both liquid phase coagulation assays lupus anticoagulant and solid phase ELISA assays anti-cardiolipin antibodies. In refractory cases plasmapheresis may be used.
#antifosfolipid hashtag on Instagram • Photos and Videos
APS provokes blood clots thrombosis in both arteries and veins as well as pregnancy-related complications such as miscarriagestillbirthpreterm deliveryand severe preeclampsia. The Sapporo APS classification criteriapublished in were replaced by the Sydney criteria in The patient on initial screening will typically have been found to have a prolonged APTT that does not correct in an Antiphospholipid syndrome often requires treatment with anticoagulant medication such as heparin to reduce the risk of further episodes of thrombosis and improve the prognosis of pregnancy.
Diseases of clotting D50—69,74— The APTT plus VDRL, which detects antibodies against syphilis, may have a false positive result in aPL-positive patients aPL bind to the lipids in the test and make it come out positivealthough the more specific test for syphilis, FTA-Abs, that use recombinant antigens will not have a false-positive result.
In APS patients, the most common venous event is deep vein thrombosis of the lower extremities, and the most common arterial event is stroke. Retrieved from ” https: Among the proposed mechanism by which APA might cause thrombosis, investigators have considered effects on vascular endotheliums, platelets, and on proteins of the clotting cascade.
Micrograph showing an advanced thrombotic microangiopathyas may be seen in ALPA syndrome.
Antiphospholipid antifosfolpid is an autoimmune diseasein which “antiphospholipid antibodies” anticardiolipin antibodies and lupus anticoagulant react against proteins that bind to anionic phospholipids on plasma membranes. The antibodies may be just ‘marker’ of the disorder, and thrombosis and pregnancy loss may results from unknown factors which induce a proagulant state.
Anti-thrombin Lupus anticoagulant Coeliac disease: The exact cause is not known, sindrkm activation of the system of coagulation is evident. Archived copy as title Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from October Articles with unsourced statements from January Like sindro autoimmune diseasesit is more common in women than in men.
There is an additional elevated risk of adrenal gland bleeds leading to Waterhouse—Friderichsen syndrome Neisseria meningitidis caused primary adrenal insufficiency. However, since APS patients appear more subject to recurrent events, prophylactic treatment is recommended for a prolonged period of sindfom.
The Johns Hopkins Lupus Center. Anti-ApoH and a subset of anti-cardiolipin antibodies bind to ApoH, which in turn inhibits Protein Ca glycoprotein with regulatory function upon the common pathway of coagulation by degradating activated factor V. Majalah Kedokteran Indonesia,46 8 The American Journal of the Medical Sciences.
Women with recurrent miscarriage are often advised to take aspirin and to start low molecular weight heparin treatment after missing a menstrual cycle. Perpustakaan Badan Penelitian dan Pengembangan Kesehatan. There are 3 distinct APS disease entities: