Antiphospholipid syndrome
Angelo Ravelli1, Alberto Martini
1Pediatria II, Istituto di Ricovero e Cura a Carattere Scientifico G. Gaslini, Largo G. Gaslini, 5, 16147, Genoa, Italy. angeloravelli@ospedale-gaslini.ge.it
Insights
Antiphospholipid syndrome (APS) causes blood clots and pregnancy loss. In children, APS is a leading cause of vascular thrombosis, requiring specialized research for effective management.
Area of Science:
- Autoimmune diseases
- Pediatric rheumatology
- Vascular thrombosis
Background:
- Antiphospholipid syndrome (APS) is an autoimmune disorder.
- Characterized by thrombosis and/or pregnancy morbidity with antiphospholipid antibodies (aPL).
- APS is the primary cause of vascular thrombosis in pediatric patients.
Observation:
- The clinical presentation and management of pediatric APS may differ from adults.
- aPL-related thrombosis is rare in children.
- Limited large-scale studies exist on the natural history and optimal treatment of childhood APS.
Findings:
- Pediatric APS requires distinct diagnostic and therapeutic strategies compared to adult APS.
- Further multicenter, controlled studies are essential to elucidate the natural history of APS in children.
- Defining optimal management protocols for pediatric APS necessitates comprehensive research.
Implications:
- Establishing evidence-based guidelines for pediatric APS diagnosis and treatment.
- Improving long-term outcomes for children with APS.
- Highlighting the need for collaborative research efforts in pediatric rheumatology and thrombosis.
Abstract:
Antiphospholipid syndrome (APS) is a systemic autoimmune disorder characterized by a combination of arterial or venous thrombosis and recurrent fetal loss, accompanied by elevated titers of antiphospholipid antibodies (aPL). APS has been recognized as the leading cause of vascular thrombosis in children. The diagnostic and therapeutic approach to APS in childhood may be different from that for adults and because of the rarity of aPL-related thrombosis in children, the natural history and optimal management of APS can be defined only through large, multicenter, controlled studies.
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