Antiphospholipid Syndrome, Fetal Growth Restriction
Conditions
Keywords
Antibodies, anticardiolipin, Antibodies, B2 Glycoprotein I, Lupus Anticoagulant, Fetal Growth Restriction
Brief summary
The Antiphospholipid Syndrome is an immune disease where the presence of antibodies directed against cell membrane phospholipids (antiphospholipid antibodies) can cause an hypercoagulable state that causes thrombosis and obstetric complications (miscarriages, stillbirths). Since 1999 the Sapporo Criteria for Antiphospholipid Syndrome diagnosis includes the development of fetal growth restriction (diagnosed postpartum), but this was done without solid evidence of a relation between the two or using the most common form of fetal growth restriction diagnosis (ultrasound). Our study will try to add information to this particular point.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Gestational age between 24-34 weeks. * Ultrasonographic evidence of fetal growth restriction * Abdominal circumference \< 3rd percentile. * Doppler with increase of placental resistance.
Exclusion criteria
* Known antiphospholipid syndrome. * Known presence of antiphospholipid antibodies. * Patients with systemic lupus erythematosus.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lupus anticoagulant | 8 months | Number of cases positive for Lupus Anticoagulant. |
| Anticardiolipin antibodies | 10 months | Number of cases with high/medium levels of IgG/IgM of anticardiolipin antibodies. |
| B2 Glycoprotein I | 10 months | Number of cases with levels of B2 Glycoprotein I \> 99% |
Countries
Panama