1. [Laboratory evaluation of lupus anticoagulant in Israel].
- Author
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Sarig G, Garach-Jehoshua O, Deutch V, Winder A, Hyam E, Katz BZ, Lahav J, Cassel A, Zivelin A, Souroujon M, and Shimron O
- Subjects
- Antiphospholipid Syndrome drug therapy, Blood Coagulation drug effects, Clinical Laboratory Techniques, Female, Fibrinolytic Agents therapeutic use, Humans, Immunologic Factors adverse effects, Immunologic Factors therapeutic use, Israel, Lupus Coagulation Inhibitor adverse effects, Lupus Coagulation Inhibitor analysis, Pregnancy, Pregnancy Complications blood, Pregnancy Complications immunology, Venous Thrombosis drug therapy, Antibodies, Antiphospholipid blood, Lupus Coagulation Inhibitor therapeutic use
- Abstract
Lupus anticoagulants (LAC) are antibodies which are detected by a prolongation of phospholipid-dependent coagulation assays, and are associated with thrombotic events and pregnancy complications in patients with the antiphospholipid syndrome. The antiphospholipid syndrome is defined by arterial or venous thrombosis and/or pregnancy morbidity and by laboratory diagnosis of antiphospholipid antibodies. The laboratory diagnosis is based on LAC and/or anticardiolipin and/or anti-beta2-glycoprotein I antibodies present in plasma, on two or more occasions at least 12 weeks apart. ALthough the presence of LAC correlates best with thrombosis, the Laboratory testing of LAC is not well standardized. In this article, the Laboratory evaluation of LAC will be explained, including the different tests that are recommended by the Israeli Sub-committee of Thrombosis and Hemostasis Laboratories, the possibility to evaluate LAC in patients treated with antithrombotic therapy, and how to report and interpret the results.
- Published
- 2010