Additional Treatments for High-Risk Obstetric Antiphospholipid Syndrome: a Comprehensive Review.

Abstract:

:Most investigators currently advocate prophylactic-dose heparin plus low-dose aspirin as the preferred treatment of otherwise healthy women with obstetric antiphospholipid syndrome, whilst women with a history of vascular thrombosis alone or associated with pregnancy morbidity are usually treated with therapeutic heparin doses in association with low-dose aspirin in an attempt to prevent both thrombosis and pregnancy morbidity. However, the protocols outlined above fail in about 20 % of pregnant women with antiphospholipid syndrome. Identifying risk factors associated with pregnancy failure when conventional therapies are utilized is an important step in establishing guidelines to manage these high-risk patients. Some clinical and laboratory risk factors have been found to be related to maternal-foetal complications in pregnant women on conventional therapy. However, the most efficacious treatments to administer to high-risk antiphospholipid syndrome women in addition to conventional therapy in order to avoid pregnancy complications are as yet unestablished. This is a comprehensive review on this topic and an invitation to participate in a multicentre study in order to identify the best additional treatments to be used in this subset of antiphospholipid syndrome patients.

authors

Ruffatti A,Hoxha A,Favaro M,Tonello M,Colpo A,Cucchini U,Banzato A,Pengo V

doi

10.1007/s12016-016-8571-6

subject

Has Abstract

pub_date

2017-08-01 00:00:00

pages

28-39

issue

1

eissn

1080-0549

issn

1559-0267

pii

10.1007/s12016-016-8571-6

journal_volume

53

pub_type

杂志文章,评审
  • A conspicuous role for B cells In Sjögren's syndrome.

    abstract::Although the relative contributions of T cells and B cells in Sjögren's syndrome (SS) are far from being settled, recent studies have suggested a crucial role for B cells in its pathophysiology. Early investigations have focused on the ability of B cells to produce autoantibodies, and new studies have enlarged the ran...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-007-8000-y

    authors: Youinou P,Devauchelle V,Hutin P,Le Berre R,Saraux A,Pers JO

    更新日期:2007-06-01 00:00:00

  • A Comprehensive Review of Celiac Disease/Gluten-Sensitive Enteropathies.

    abstract::Celiac disease is a complex immune-mediated gluten-sensitive enteropathy with protean clinical manifestations. It is manifest in genetically predisposed individuals who ingest gluten in varying amounts. In broad terms, it is thought to affect 1% of the population in the USA. More specifically, the prevalence increases...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-018-8691-2

    authors: McAllister BP,Williams E,Clarke K

    更新日期:2019-10-01 00:00:00

  • Do We Need Worms to Promote Immune Health?

    abstract::Many immune-mediated diseases like inflammatory bowel disease, multiple sclerosis, type 1 diabetes, asthma, and food allergy appeared to have increased in frequency in developed countries in the latter part of the twentieth century. Reports from less developed countries suggest that the "epidemic" of immune-mediated d...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-014-8458-3

    authors: Weinstock JV

    更新日期:2015-10-01 00:00:00

  • New therapies for primary biliary cirrhosis.

    abstract::Primary biliary cirrhosis (PBC) is a rare inflammatory liver disease for which ursodeoxycholic acid (UDCA) is the only therapy approved by the U.S. Food and Drug Administration. Patients with a biochemical response to UDCA therapy have a similar survival rate compared to the general population. However, up to 40% of P...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-014-8456-5

    authors: Floreani A,Franceschet I,Perini L,Cazzagon N,Gershwin ME,Bowlus CL

    更新日期:2015-06-01 00:00:00

  • Mold and human health: separating the wheat from the chaff.

    abstract::The term "mold" is utilized to define the ubiquitous fungal species commonly found in household dust and observed as visible multicellular filaments. Several well-defined human diseases are known to be caused or exacerbated by mold or by exposure to their byproducts. Among these, a solid connection has been establishe...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-009-8175-5

    authors: Pettigrew HD,Selmi CF,Teuber SS,Gershwin ME

    更新日期:2010-04-01 00:00:00

  • Vasculitides and the Complement System: a Comprehensive Review.

    abstract::Systemic vasculitides are a group of rare diseases characterized by inflammation of the arterial or venous vessel wall, causing stenosis or thrombosis. Clinical symptoms may be limited to skin or to other organs or may include multiple manifestations as systemic conditions. The pathogenesis is related to the presence ...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-014-8453-8

    authors: Chimenti MS,Ballanti E,Triggianese P,Perricone R

    更新日期:2015-12-01 00:00:00

  • Common pathways of autoimmune inflammatory myopathies and genetic neuromuscular disorders.

    abstract::It has been shown that many hereditary motor neuron diseases are caused by mutation of RNA processing enzymes. Survival of motor neuron 1 (SMN1) is well-known as a causative gene for spinal muscular atrophy (SMA) and mutations of glycyl- and tyrosyl-tRNA synthetases are identified as a cause of distal SMA and Charcot-...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-011-8286-7

    authors: Satoh M,Ceribelli A,Chan EK

    更新日期:2012-02-01 00:00:00

  • Skin testing and food challenges in allergy and immunology practice.

    abstract::Skin tests by prick technique offer considerable guidance in the diagnosis of food allergy. Negative prick skin tests are powerful evidence against food allergy. Positive food skin tests are slightly to moderately predictive of reaction to a food on DBPCFC. Oral food challenge is necessary for confirmation of food all...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/BF02737614

    authors: Williams LW,Bock SA

    更新日期:1999-10-01 00:00:00

  • The Etiology of Juvenile Idiopathic Arthritis.

    abstract::Over the years, the commonly used term to describe juvenile idiopathic arthritis (JIA) has changed. By definition, JIA includes all types of arthritis with no apparent cause, lasting more than 6 weeks, in patients aged less than 16 years at onset. JIA pathogenesis is still poorly understood: the interaction between en...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-014-8460-9

    authors: Rigante D,Bosco A,Esposito S

    更新日期:2015-10-01 00:00:00

  • Understanding and resolving adherence problems.

    abstract::The expert panel report version 2 (EPR-2) is a comprehensive set of recommendations for the evaluation and treatment of asthma. However, physicians demonstrate scant adoption of many of the key evaluation and treatment components of the EPR-2, with primary care physicians being less likely to adopt EPR-2 recommendatio...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1385/CRIAI:27:2:065

    authors: Hernandez DV,Schmaling KB

    更新日期:2004-10-01 00:00:00

  • Therapeutic perspectives in atopic dermatitis.

    abstract::Therapy of atopic dermatitis should comprise emollients, topical glucocorticosteroids, or calcineurin inhibitors, phototherapies, immunosuppressants like cyclosporin A, and other treatments. All these treatments should be improved, thanks to research. But new therapeutic perspectives should be given by topical anti-in...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-010-8226-y

    authors: Misery L

    更新日期:2011-12-01 00:00:00

  • Beta2-agonists and bronchial hyperresponsiveness.

    abstract::Bronchial hyperresponsiveness (BHR) is a characteristic feature of asthma, and individuals with this disease respond to a range of physiological and chemical insults that are otherwise innocuous to healthy subjects, suggesting that the mechanisms underlying this phenomenon are characteristic of the asthma phenotype. B...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1385/CRIAI:31:2:143

    authors: Page CP,Spina D

    更新日期:2006-10-01 00:00:00

  • Increased prevalence of anti-third generation cyclic citrullinated peptide antibodies in patients with rheumatoid arthritis and CREST syndrome.

    abstract::To investigate the prevalence of anti-third generation cyclic citrullinated peptide antibodies (anti-CCP3) in patients with systemic connective tissue diseases, we assembled a training set consisting of 115 patients with rheumatoid arthritis (RA), 52 with Calcinosis, Raynaud's phenomenon, oesophageal dysmotility, scle...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章

    doi:10.1007/BF02686081

    authors: Wu R,Shovman O,Zhang Y,Gilburd B,Zandman-Goddard G,Shoenfeld Y

    更新日期:2007-02-01 00:00:00

  • The hygiene theory harnessing helminths and their ova to treat autoimmunity.

    abstract::The incidence of autoimmune diseases is increasing in Western countries, possibly due to the improved sanitary conditions and reduced exposure to infections in childhood (the hygiene hypothesis). There is an ongoing debate whether infection prevents or precipitates autoimmune diseases. Various helminths species used i...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-012-8352-9

    authors: Ben-Ami Shor D,Harel M,Eliakim R,Shoenfeld Y

    更新日期:2013-10-01 00:00:00

  • Antiendothelial cell antibodies (AECA) in patients with uveoretinitis.

    abstract::AECAs have been found in 26% of patients with uveoretinitis in studies arising from three different laboratories, and their presence cannot simply be explained by coexisting extraocular disease. There is little correlation with ocular disease activity or other markers of systemic inflammation and vascular damage that ...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/BF02828276

    authors: Edelsten C,D'Cruz DP

    更新日期:1997-04-01 00:00:00

  • Systemic lupus erythematosus and parvovirus B-19: casual coincidence or causative culprit?

    abstract::Systemic lupus erythmatosus (SLE) is a multi-system autoimmune disease characterized by auto-reactive cells and auto-antibodies, which can potentially affect all organ systems. Typical organ systems that are affected include the heart, lungs, skin, kidneys, and central nervous system. Its expression is believed to be ...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1385/CRIAI:25:1:41

    authors: Severin MC,Levy Y,Shoenfeld Y

    更新日期:2003-08-01 00:00:00

  • Irritant Contact Dermatitis.

    abstract::Contact dermatitis accounts for 95% of occupational skin disorders. Irritant contact dermatitis (ICD) is often caused by cumulative exposure to weak irritants, accounting for 80% of all cases of contact dermatitis. ICD can co-exist with atopic dermatitis (AD) and allergic contact dermatitis (ACD). Patients with AD and...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-018-8713-0

    authors: Bains SN,Nash P,Fonacier L

    更新日期:2019-02-01 00:00:00

  • Eosinophilic Esophagitis: A Comprehensive Review.

    abstract::Eosinophilic esophagitis (EoE) is an emerging chronic atopic clinical-pathologic disease with an estimated prevalence of 1/1000 similar to the one of Crohn's diseases. Usually, EoE is firstly suspected due to symptoms that are caused by esophageal dysfunction and/or fibrosis. EoE diagnosis is confirmed if the esophage...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-015-8501-z

    authors: Cianferoni A,Spergel J

    更新日期:2016-04-01 00:00:00

  • Immunogenicity of Anti-TNF-alpha agents in autoimmune diseases.

    abstract::Prognosis of several autoimmune diseases, especially rheumatoid arthritis (RA), ankylosing spondylitis, Crohn's disease (CD), and psoriasis, usually refractory to conventional treatment improved considerably with the introduction of tumor necrosis factor alpha (TNF-alpha) antagonistic agents, which is now available (i...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-009-8140-3

    authors: Emi Aikawa N,de Carvalho JF,Artur Almeida Silva C,Bonfá E

    更新日期:2010-04-01 00:00:00

  • Diagnosis of cystic fibrosis.

    abstract::Cystic fibrosis (CF) is an autosomal recessive disease caused by mutations in the CF transmembrane conductance regulator (CFTR) gene that results in abnormal viscous mucoid secretions in multiple organs and whose main clinical features are pancreatic insufficiency and chronic endobronchial infection. Although it was i...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-008-8078-x

    authors: Voter KZ,Ren CL

    更新日期:2008-12-01 00:00:00

  • Hereditary Angioedema Attacks: Local Swelling at Multiple Sites.

    abstract::Hereditary angioedema (HAE) patients experience recurrent local swelling in various parts of the body including painful swelling of the intestine and life-threatening laryngeal oedema. Most HAE literature is about attacks located in one anatomical site, though it is mentioned that HAE attacks may also involve multiple...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章

    doi:10.1007/s12016-014-8463-6

    authors: Hofman ZL,Relan A,Hack CE

    更新日期:2016-02-01 00:00:00

  • The acute management of asthma.

    abstract::Patients presenting to the emergency department (ED) or clinic with acute exacerbation of asthma (AEA) can be very challenging varying in both severity and response to therapy. High-dose, frequent or continuous nebulized short-acting beta2 agonist (SABA) therapy that can be combined with a short-acting muscarinic anta...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-014-8448-5

    authors: Albertson TE,Sutter ME,Chan AL

    更新日期:2015-02-01 00:00:00

  • Allergens.

    abstract::What makes an antigen an allergen? This question has been at the core of much research regarding the basic mechanisms of allergy as well as the development of diagnostic and therapeutic allergen products. Great strides have been made since Kjell Aas asked this question in his classic review in Allergy (1), but we appe...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章

    doi:10.1385/CRIAI:30:2:71

    authors: Esch RE

    更新日期:2006-04-01 00:00:00

  • Inflammatory Joint Disorders and Neutrophilic Dermatoses: a Comprehensive Review.

    abstract::Rheumatoid arthritis and spondyloarthritis are inflammatory joint disorders with an autoimmune pathogenesis and systemic involvement. The skin is one of the most frequently affected extraarticular sites with a number of manifestations or distinct diseases, including common conditions, such as rheumatoid nodules and ps...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-017-8629-0

    authors: Cugno M,Gualtierotti R,Meroni PL,Marzano AV

    更新日期:2018-04-01 00:00:00

  • A Review of Neutrophil Extracellular Traps (NETs) in Disease: Potential Anti-NETs Therapeutics.

    abstract::Activated neutrophils release neutrophil extracellular traps (NETs) in response to a variety of stimuli. NETosis is driven by protein-arginine deiminase type 4, with the release of intracellular granule components that function by capturing and destroying microbes, including viral, fungal, bacterial, and protozoal pat...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-020-08804-7

    authors: Mutua V,Gershwin LJ

    更新日期:2020-08-01 00:00:00

  • The role of Toll-like receptor signaling in human immunodeficiencies.

    abstract::Through the last decade, clinical immunology has witnessed a considerable progress in understanding the role of the innate immunity in human host defense, with Toll-like receptors (TLRs) being the most extensively innate immune receptors investigated. Growing literature documents the relevance of TLR signaling pathway...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-009-8135-0

    authors: Suhir H,Etzioni A

    更新日期:2010-02-01 00:00:00

  • The Role of STAT Signaling Pathways in the Pathogenesis of Systemic Lupus Erythematosus.

    abstract::Systemic lupus erythematosus (SLE) is a multisystem autoimmune disorder with a broad spectrum of clinical presentations and association with multiple immunological abnormalities. Recent research of the Janus kinase (JAK)-signal transducer and activator of transcription (STAT) signaling pathway-revealed aberrant STAT s...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-016-8550-y

    authors: Goropevšek A,Holcar M,Avčin T

    更新日期:2017-04-01 00:00:00

  • Autoimmunity and recurrent pregnancy losses.

    abstract::The relationship between autoimmunity and reproduction has long been recognized. This relationship is bidirectional and includes many diverse issues, but in this review article, we focus on which autoimmune disturbances are the basic cause of recurrent pregnancy losses in patients with autoimmune diseases. The antipho...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-009-8179-1

    authors: Cervera R,Balasch J

    更新日期:2010-12-01 00:00:00

  • Medical treatment of primary sclerosing cholangitis: a role for novel bile acids and other (post-)transcriptional modulators?

    abstract::Primary sclerosing cholangitis (PSC) is a rare chronic cholestatic disease of the liver and bile ducts that is associated with inflammatory bowel disease, generally leads to end-stage liver disease, and is complicated by malignancies of the biliary tree and the large intestine. The pathogenesis of PSC remains enigmati...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1007/s12016-008-8085-y

    authors: Beuers U,Kullak-Ublick GA,Pusl T,Rauws ER,Rust C

    更新日期:2009-02-01 00:00:00

  • Airway hyperresponsiveness: a story of mice and men and cytokines.

    abstract::Bronchial hyperresponsiveness (BHR) is an essential part of the definition of asthma. Although our understanding of the allergic inflammatory and immunologic mechanisms of asthma have markedly increased, the mechanism of BHR remains to be elucidated. Increased BHR is associated temporally with exposure to allergens, c...

    journal_title:Clinical reviews in allergy & immunology

    pub_type: 杂志文章,评审

    doi:10.1385/CRIAI:24:1:85

    authors: Townley RG,Horiba M

    更新日期:2003-02-01 00:00:00