Practice Bulletin No. 132: Antiphospholipid syndrome

Obstet Gynecol. 2012 Dec;120(6):1514-21. doi: 10.1097/01.AOG.0000423816.39542.0f.

Abstract

Antiphospholipid syndrome (APS) is an autoimmune disorder defined by the presence of characteristic clinical features and specified levels of circulating antiphospholipid antibodies (Box 1 and Box 2). Diagnosis requires that at least one clinical and one laboratory criterion are met. Because approximately 70% of individuals with APS are female (1), it is reasonably prevalent among women of reproductive age. Antiphospholipid antibodies are a diverse group of antibodies with specificity for binding to negatively charged phospholipids on cell surfaces. Despite the prevalence and clinical significance of APS, there is controversy about the indications for and types of antiphospholipid tests that should be performed in order to diagnose the condition. Much of the debate results from a lack of well-designed and controlled studies on the diagnosis and management of APS. The purpose of this document is to evaluate the data for diagnosis and treatment of APS.

Publication types

  • Practice Guideline

MeSH terms

  • Antibodies, Antiphospholipid / blood
  • Antibodies, Antiphospholipid / immunology
  • Antiphospholipid Syndrome / complications
  • Antiphospholipid Syndrome / diagnosis*
  • Antiphospholipid Syndrome / epidemiology
  • Antiphospholipid Syndrome / immunology
  • Antiphospholipid Syndrome / therapy
  • Female
  • Fetal Growth Retardation / blood
  • Fetal Growth Retardation / epidemiology
  • Fetal Growth Retardation / immunology
  • Fetal Mortality
  • Humans
  • Pre-Eclampsia / blood
  • Pre-Eclampsia / epidemiology
  • Pre-Eclampsia / immunology
  • Pregnancy
  • Prevalence
  • Sex Factors
  • beta 2-Glycoprotein I / blood
  • beta 2-Glycoprotein I / immunology

Substances

  • Antibodies, Antiphospholipid
  • beta 2-Glycoprotein I