ABSTRACT
Anticardiolipin antibody (aCL), anti-β2 glycoprotein I antibodies, and lupus anticoagulant
(LA) are the only laboratory tests considered within the revised criteria for the
classification of the antiphospholipid syndrome (APS). Recently, antibodies against
phosphatidylserine-prothrombin complex (aPS/PT) have been detected, and these antibodies,
rather than antibodies against prothrombin alone, are closely associated with APS
and LA. The sensitivity and specificity of aPS/PT for the diagnosis of APS were assessed
in a population of patients with a variety of autoimmune disorders. aCL and aPS/PT
have similar diagnostic value for APS, therefore aPS/PT should be further explored,
not only for research purposes but also as a candidate for one of the laboratory criteria
for the classification of the APS.
KEYWORDS
Antiprothrombin antibody - phosphatidylserine - thrombosis - lupus anticoagulant -
antiphospholipid syndrome
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Dr. Tatsuya Atsumi
Department of Medicine II, Hokkaido University Graduate School of Medicine
N15 W7, Kita-ku, Sapporo 060-8638, Japan
Email: at3tat@med.hokudai.ac.jp