Lupus anticoagulant in the elderly may be associated with both quinine and quinidine usage.

Abstract:

:Thirty-one patients aged over 60 yrs and with lupus anticoagulant (LA) were reviewed for their drug intake. Twenty-three (73%) were taking cinchona alkaloids, 10 (32%) quinine for night cramps, 11 (35%) quinidine for cardiac arrhythmia and 2 (6%) were taking both. These frequencies of drugs usage differed significantly from age and sex matched controls (p < 0.001). Five patients had features suggestive of the antiphospholipid syndrome. Repeat testing showed persistent LA activity in all but 2 of 5 patients in whom the relevant drug had been ceased. This is the first description of a possible causal association between LA and quinine therapy.

journal_name

Pathology

journal_title

Pathology

authors

Bird MR,O'Neill AI,Buchanan RR,Ibrahim KM,Des Parkin J

doi

10.1080/00313029500169742

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

136-9

issue

2

eissn

0031-3025

issn

1465-3931

journal_volume

27

pub_type

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