The digestive system involvement of antiphospholipid syndrome: pathophysiology, clinical characteristics, and treatment strategies.

Abstract:

:Antiphospholipid syndrome (APS) is an autoimmune disease mainly characterised by vascular thrombosis and pregnancy morbidity. APS has broad spectrum of clinical manifestations. The digestive system involvement of antiphospholipid syndrome is a critical but under-recognised condition. Digestive system involvement may be the result of direct (autoimmune-mediated) or indirect (thrombotic) mechanisms. Liver is the most commonly involved organ, followed by intestines, oesophagus, stomach, pancreas and spleen. This review describes possible digestive system manifestations in APS patients, and illustrates the epidemiology and possible pathophysiology of APS. The role of different treatment strategies in the management of digestive system manifestations of APS were also discussed.Key messagesAntiphospholipid syndrome is a multi-organ, multi-system disease and its clinical manifestation spectrum is gradually expanding. Since the first diagnosis of APS, the clinical manifestations of digestive system have been reported successively. This narrative review describes the major digestive system manifestations of APS and illustrates the epidemiology, pathophysiology and the role of therapeutic strategies of these patients.

journal_name

Ann Med

journal_title

Annals of medicine

authors

Zhang J,Li C,Han X,Chen Z,Adhikari BK,Wang Y,Wang Y,Sun J

doi

10.1080/07853890.2021.1962964

keywords:

["Antiphospholipid syndrome","antiphospholipid antibodies","autoimmune","digestive system","thrombosis"]

subject

Has Abstract

pub_date

2021-12-01 00:00:00

pages

1328-1339

issue

1

eissn

0785-3890

issn

1365-2060

journal_volume

53

pub_type

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