How do you approach low to moderate titer of APLS when working up unprovoked DVT if it is persistent on repeat testing?
How do you approach persistent low titers of antiphospholipid antibodies found in unprovoked DVT?
Join Mednetto vote and see how they answered.
I have a low threshold to recommend long term (indefinite) anticoagulation for unprovoked thrombosis, regardless of whether there is positive APLS testing. I do agree with Dr. @Dr. First Last, however, that shared decision-making is important when committing a patient to prolonged anticoagulation, a...
Join for free or sign in to see the full answer
In the absence of strong evidence or guidelines, this would be a case-by-case decision. I would probably be inclined not to anticoagulate indefinitely, however, shared decision making with the patient is key.
Several variables to consider would be other traditional risk factors, the presence of other...
Join for free or sign in to see the full answer
If the patient already had an unprovoked DVT, and has had persistently low to moderate titers of APL antibodies, I think you need to consider some type of therapeutic intervention. At the very least, even though the evidence is not strong in the medical literature, I would consider using HCQ, stoppi...
Join for free or sign in to see the full answer
Classifying the aPL profile as high- or low-risk, in conjunction with concomitant risk factors, can provide a general estimate of risk. Aspirin is recommended for primary prevention in individuals who have SLE and aPL, or in those without SLE but who have a high-risk profile.
For patients who have AP...
Join for free or sign in to see the full answer