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[Chorea, lupus and antiphospholipid antibodies]
P Reiner1, J-C Piette, G Leroux
1Service de neurologie, hôpital Lariboisière, université Paris-7, AP-HP, 75475 Paris cedex 10, France.
La Revue De Medecine Interne
|February 28, 2012
Summary
Chorea in Systemic Lupus Erythematosus (SLE) is linked to antiphospholipid antibodies and may increase the risk of future blood clots. Early treatment with antiplatelet agents and hydroxychloroquine can help manage symptoms and reduce risks.
Area of Science:
- Neurology
- Rheumatology
- Immunology
Context:
- Chorea is a neurological complication observed in patients with Systemic Lupus Erythematosus (SLE).
- The incidence of chorea in SLE ranges from 1-3% in adults and up to 9% in pediatric lupus patients.
- Chorea often presents as an initial symptom and is strongly associated with antiphospholipid antibodies.
Purpose:
- To investigate the clinical characteristics, treatment, and long-term risks associated with chorea in SLE patients.
- To evaluate the relationship between chorea, antiphospholipid antibodies, and subsequent thrombotic events.
- To assess the impact of management strategies, including antiplatelet agents, on patient outcomes.
Summary:
- Chorea in SLE is frequently linked to antiphospholipid antibodies.
- Standard treatment typically involves antiplatelet agents and hydroxychloroquine.
- Patients with SLE-associated chorea face elevated risks of arterial thrombotic events, obstetric complications, and valvular disease.
Impact:
- Identifying patients with SLE-related chorea is crucial for risk stratification.
- Proactive management, particularly with antiplatelet therapy and careful obstetric care, may mitigate serious complications.
- This highlights the importance of comprehensive monitoring for thrombotic and other risks in SLE patients presenting with chorea.
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