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2015 ; 2015
(ä): 951424
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Treatment of Thrombotic Antiphospholipid Syndrome: The Rationale of Current
Management-An Insight into Future Approaches
#MMPMID26075289
Chighizola CB
; Ubiali T
; Meroni PL
J Immunol Res
2015[]; 2015
(ä): 951424
PMID26075289
show ga
Vascular thrombosis and pregnancy morbidity represent the clinical manifestations
of antiphospholipid syndrome (APS), which is serologically characterized by the
persistent positivity of antiphospholipid antibodies (aPL). Antiplatelet and
anticoagulant agents currently provide the mainstay of APS treatment. However,
the debate is still open: controversies involve the intensity and the duration of
anticoagulation and the treatment of stroke and refractory cases. Unfortunately,
the literature cannot provide definite answers to these controversial issues as
it is flawed by many limitations, mainly due to the recruitment of patients not
fulfilling laboratory and clinical criteria for APS. The recommended therapeutic
management of different aPL-related clinical manifestations is hereby presented,
with a critical appraisal of the evidence supporting such approaches. Cutting
edge therapeutic strategies are also discussed, presenting the pioneer reports
about the efficacy of novel pharmacological agents in APS. Thanks to a better
understanding of aPL pathogenic mechanisms, new therapeutic targets will soon be
explored. Much work is still to be done to unravel the most controversial issues
about APS management: future studies are warranted to define the optimal
management according to aPL risk profile and to assess the impact of a strict
control of cardiovascular risk factors on disease control.