The presence of non-criteria manifestations negatively affects the prognosis of seronegative antiphospholipid syndrome patients: a multicenter study

Autores da FMUP
Participantes de fora da FMUP
- da Rosa, GP
- Ferreira, E
- Araujo, O
- Barilaro, G
- Bettencourt, P
- Cervera, R
- Espinosa, G
Unidades de investigação
Abstract
Background Seronegative antiphospholipid syndrome (SN-APS) is often defined as the presence of APS criteria manifestations, negative antiphospholipid antibodies (aPL), and coexistence of APS non-criteria manifestations. Nevertheless, the impact of these non-criteria features is still unclear. On a different note, the relevance of one single aPL positive determination in patients with APS manifestations is another domain with limited evidence. We aim to compare the course of SN-APS and single-positive aPL (SP-aPL) patients with that of individuals with APS manifestations without non-criteria features/aPL positivity (controls). Methods Retrospective analysis of patients with thrombosis/obstetric morbidity assessed in two European hospitals between 2005 and 2020. Patients were divided into SN-APS, SP-aPL, and control groups. Clinical characteristics, comorbidities, and therapies were compared. Results A total of 82 patients were included in the SN-APS group, 88 in the SP-aPL group, and 185 in the control group. In Cox regression model, SN-APS displayed more thrombosis recurrence than controls (HR 3.8, 95% CI 2.2-6.5, p < 0.001) even when adjusting for the presence of hereditary thrombophilia, systemic lupus erythematosus, or contraceptive hormonal treatment. In SP-aPL, the difference in thrombosis recurrence did not reach statistical significance (p = 0.078). Indefinite anticoagulation (p < 0.001 and p = 0.008, respectively) and vitamin K antagonist (VKA) use (p < 0.001 in both cases) were more common in SN-APS/SP-aPL. Conclusion SN-APS displayed more thrombosis recurrence, indefinite anticoagulation, and VKA use than controls without non-criteria manifestations. The presence of such features in patients with thrombosis and negative aPL may negatively impact their clinical course.
Dados da publicação
- ISSN/ISSNe:
- 1478-6354, 1478-6362
- Tipo:
- Article
- Páginas:
- -
- Link para outro recurso:
- www.scopus.com
ARTHRITIS RESEARCH & THERAPY BioMed Central Ltd.
Citações Recebidas na Web of Science: 4
Citações Recebidas na Scopus: 4
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Keywords
- Antiphospholipid syndrome; Antiphospholipid antibodies; Seronegative; Single positive; Non-criteria manifestations
Campos de estudo
Proyectos asociados
Seroprevalence of SARS-CoV-2 and assessment of epidemiologic determinants in Portuguese municipal workers
Investigador Principal: Bernardo Manuel De Sousa Pinto
Estudo Clínico Académico (SARS-CoV-2) . 2021
Citar a publicação
da GP,Sousa B,Ferreira E,Araujo O,Barilaro G,Bettencourt P,Cervera R,Espinosa G. The presence of non-criteria manifestations negatively affects the prognosis of seronegative antiphospholipid syndrome patients: a multicenter study. Arthritis Res. Ther. 2022. 24. (1):9. IF:4,900. (2).