Fitting and flailing: recognition of paediatric antiphospholipid syndrome

作者：Helen Freeman, Jayesh Patel, David Fernández, P M Sharples, Athimalaipet V Ramanan · 发表于：Archives of Disease in Childhood Education & Practice · 年份：2013 · DOI：10.1136/archdischild-2012-302404 · 被引用次数：10 · 研究领域：Systemic Lupus Erythematosus Research、Blood disorders and treatments、Diabetes and associated disorders

Antiphospholipid syndrome (APS) is a systemic autoimmune condition where the presence of antiphospholipid antibodies is thought to predispose to thrombotic events. It is uncommon in the paediatric population, but current diagnostic criteria are based on adult population studies, making assessment of its true paediatric prevalence difficult. We present two cases of paediatric APS, who presented with primary neurological events, and discuss approaches to diagnosis, interpretation of screening investigations, including antinuclear antibodies (ANA), anti-extractable nuclear antigen (ENA) antibodies and lupus anticoagulant. Possible approaches to the management of paediatric APS are discussed.