Early diagnosis saves lives
Steroids are generally reserved for those patients with very low platelet counts or sometimes for women who experience a high number of early miscarriages.
Hydroxychloroquine is particularly effective in helping skin rashes, fatigue, and aches and pains; it has been used to treat autoimmune conditions for many years. One of the additional actions of hydroxychloroquine is that it acts as a (mild) anti-clotting agent – rather like low dose aspirin, and has also been found to reduce levels of anticardiolipin antibodies. Many APS patients are now being prescribed this with positive results – please note that it can take up to two or three months before the effects of hydroxychloroquine can be felt.
Formed by pooling the globulins (antibodies) from a large group of healthy donors, IVIG appears to neutralize a number of harmful antibodies and has been used in a variety of autoimmune diseases with mixed success. IVIG is extremely expensive, and its action is short-lived but it has been effective in some APS patients, particularly those with low platelet counts.
These drugs (most commonly azathioprine and methotrexate) are widely used in autoimmune diseases such as lupus and rheumatoid arthritis. Ideally, any drug which suppresses the harmful antiphospholipid antibodies would have a major role in APS. However, immunosuppressives have proved disappointing in APS patients, though this continues to be a major focus of research.
It has recently been found that, as with other autoimmune diseases such as multiple sclerosis and lupus, vitamin D deficiency is common amongst APS patients. The exact effect the lack of vitamin D could have on clotting events is still under scrutiny but, as vitamin D is cheap and has many additional advantages, it seems sensible to recommend
that patients get their levels checked and take supplements if necessary.
Some people with APS will also have other autoimmune conditions. View the 'cousins' of APS.
Thanks to other patients supplying and sharing their information, we are able to provide this national directory of APS specialists.
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