How would you counsel a patient with active SLE on treatment, low to moderate level of one of the APLS antibodies, and remote history of provoked blood clot regarding perioperative anticoagulation?

Without knowing more specific details, my approach would be to repeat the full panel of antiphospholipid antibodies, institute treatment with HCQ if not there already, discontinue all estrogen products and counsel the patient against smoking. I would coordinate perioperative anticoagulation with a h...

In addition to Dr. @Dr. First Last's recommendations, I would recommend postoperative prophylaxis with LMWH for 6 weeks. However, to properly assess the risk, I would want to know if the remote thrombosis was provoked or unprovoked and what were the provoking factors if any. I would also want to kno...