Risk Factors for Antiphospholipid Antibodies and Antiphospholipid Syndrome

Author:

Aguirre del-Pino Rodrigo12ORCID,Monahan Rory C.13,Huizinga Tom W.J.1,Eikenboom Jeroen4,Steup-Beekman Gerda M.15

Affiliation:

1. Department of Rheumatology, Leiden University Medical Center (LUMC), Leiden, The Netherlands

2. Division of Rheumatology, A Coruña University Hospital (CHUAC), Galicia, Spain

3. Department of Clinical Epidemiology, Leiden University Medical Center (LUMC), Leiden, The Netherlands

4. Division of Thrombosis and Hemostasis, Department of Internal Medicine, Leiden University Medical Center (LUMC), Leiden, The Netherlands

5. Department of Rheumatology, Haaglanden Medical Center, The Hague, The Netherlands

Abstract

AbstractPersistence of serum antiphospholipid antibodies (aPL) is associated with a high thrombotic risk, both arterial and venous, and with pregnancy complications. Due to the potential morbidity and mortality associated with the presence of aPL, identifying and recognizing risk factors for the development of aPL and thrombosis in aPL carriers may help to prevent and reduce the burden of disease. Multiple elements are involved in the pathomechanism of aPL development and aPL-related thrombosis such as genetics, malignancy, and infections. This review will address the role of both well-known risk factors and their evolution, and of emerging risk factors, including COVID-19, in the development of aPL and thrombosis in aPL carriers.

Publisher

Georg Thieme Verlag KG

Subject

Cardiology and Cardiovascular Medicine,Hematology

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