Treatment of antiphospholipid syndrome beyond anticoagulation.


Journal

Clinical immunology (Orlando, Fla.)
ISSN: 1521-7035
Titre abrégé: Clin Immunol
Pays: United States
ID NLM: 100883537

Informations de publication

Date de publication:
09 2019
Historique:
received: 16 02 2018
revised: 02 03 2018
accepted: 02 03 2018
pubmed: 7 3 2018
medline: 12 5 2020
entrez: 7 3 2018
Statut: ppublish

Résumé

Antiphospholipid syndrome (APS) is a systemic autoimmune disorder marked by thrombosis and/or pregnancy morbidity in the presence of antiphospholipid antibodies (aPL). At the present time, treatment is primarily focused on anticoagulation. However, there is increasing awareness of the mechanisms involved in APS pathogenesis, which has led to the trial of novel therapies targeting those mechanisms. Following a brief review of the etiopathogenesis of and current management strategies in APS, this paper focuses on the evidence for these potential, targeted APS treatments, e.g., hydroxychloroquine, statins, rituximab, belimumab, eculizumab, defibrotide, sirolimus, and peptide therapy.

Identifiants

pubmed: 29510235
pii: S1521-6616(18)30119-0
doi: 10.1016/j.clim.2018.03.001
pii:
doi:

Substances chimiques

Antibodies, Antiphospholipid 0
Anticoagulants 0
Immunosuppressive Agents 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

53-62

Informations de copyright

Copyright © 2018. Published by Elsevier Inc.

Auteurs

Chrisanna Dobrowolski (C)

Department of Medicine, University of Ottawa, Ontario, Canada.

Doruk Erkan (D)

Barbara Volcker Center for Women and Rheumatic Diseases, Hospital for Special Surgery, Weill Cornell Medicine, New York, NY, USA. Electronic address: erkand@hss.edu.

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Classifications MeSH