Understanding Antiphospholipid Syndrome (APS)

A Comprehensive Guide to This Autoimmune Blood Disorder

Internal Medicine

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Last updated: Mar 24, 2025

What is APS?

Antiphospholipid syndrome (APS) is an autoimmune disorder that causes your immune system to mistakenly create antibodies that attack certain proteins in your blood. These antibodies can cause blood clots to form in your arteries and veins.

Key Symptoms

  • Blood clots in veins (deep vein thrombosis)
  • Blood clots in arteries
  • Pregnancy complications, including:
    • Recurrent miscarriages
    • Preeclampsia
    • Premature birth
  • Low platelet count (thrombocytopenia)

Risk Factors

  • Gender (more common in women)
  • Age (most common between 20-50 years)
  • Other autoimmune conditions, especially:
    • Systemic lupus erythematosus (SLE)
    • Rheumatoid arthritis

Diagnosis

Diagnosis typically involves:

  1. Blood tests for antiphospholipid antibodies
  2. Confirmation tests after 12 weeks
  3. Clinical history of blood clots or pregnancy complications

Treatment Options

Blood Thinners

  • Heparin
  • Warfarin
  • Other anticoagulants

Additional Treatments

  • Low-dose aspirin
  • Hydroxychloroquine (in some cases)
  • Regular monitoring of blood levels

Living with APS

Lifestyle Modifications

  • Regular exercise
  • Smoking cessation
  • Maintaining healthy weight
  • Avoiding long periods of immobility

Pregnancy Management

  • Close monitoring throughout pregnancy
  • Special blood-thinning treatments
  • Regular consultations with specialists

When to Seek Emergency Care

  • Sudden shortness of breath
  • Chest pain
  • Severe headache with vision changes
  • Signs of stroke
  • Severe leg pain or swelling

Prevention Strategies

  • Take medications as prescribed
  • Attend regular check-ups
  • Monitor blood levels consistently
  • Report new symptoms promptly

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