Primary antiphospholipid syndrome with and without limb ischemia: A retrospective observational study

Jozélio Freire de Carvalho*, Rodrigo A. Brandão Neto, Thelma Larocca Skare, Yehuda Shoenfeld

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To compare clinical and laboratory data obtained from patients with primary Antiphospholipid Syndrome (PAPS) with and without limb ischemia (LI). Methods: A transverse study with 66 (83.3% female) PAPS patients was performed. All data were evaluated. Patients were subdivided into one of two groups: PAPS with LI and PAPS without LI and compared. Results: Sixty-six primary APS were selected. PAPS with LI group exhibited a longer disease duration (p =.012) and more arterial events (p =.002). A lower frequency of venous events was observed in PAPS with LI (p =.007), and deep venous thrombosis (p =.016). Furthermore, PAPS with LI patients had more deficiency of protein C of coagulation (p =.015) than the others. Conclusion: PAPS and LI have a distinct clinical and laboratory spectra from those without LI and it is characterized by an increased frequency of protein C deficiency, and a lower frequency of venous events, deep venous thrombosis and IgM anticardiolipin.

Original languageEnglish
Pages (from-to)1486-1492
Number of pages7
JournalLupus
Volume32
Issue number13
DOIs
StatePublished - Nov 2023
Externally publishedYes

Keywords

  • Antiphospholipid syndrome
  • antiphospholipid antibodies
  • arterial thrombosis
  • ischemic limb
  • thrombosis

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