ABSTRACT
Systemic lupus erythematosus (SLE) is a potentially fatal multiorgan inflammatory
disease that primarily affects females. Due to the heterogeneity of clinical manifestations
and lack of laboratory tests that are both specific and sensitive for the disease,
diagnosis of SLE can often be difficult. Although the precise etiology remains to
be fully elucidated, it is probable that various environmental, genetic, and hormonal
factors contribute to the development of the disease. Patients with SLE have an increased
risk for premature thrombosis and/or atherosclerosis, with up to half experiencing
a thrombotic event. Furthermore, antiphospholipid antibodies probably play a key role
in the development of thrombosis by affecting various hemostatic protein interactions
with phospholipids and cell surfaces as well as platelet function. Despite recent
advances in knowledge related to the factors that contribute to the pathophysiology
of SLE, numerous challenges related to earlier diagnosis as well as the prediction
and prevention of thrombotic events remain to be fully addressed.
KEYWORDS
Systemic lupus erythematosus - lupus - thrombosis - antiphospholipid antibody
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Murray AdamsPh.D. M.A.I.M.S.
Senior Lecturer, School of Human Life Sciences
University of Tasmania, Tasmania, Australia
eMail: Murray.Adams@utas.edu.au