Antiphospholipid Syndrome: Nephrologists’ Perspective
- 1 Shebin El Kom Teaching Hospital, Shebin El Kom, Egypt
- 2 Faculty of Medicine, Menoifya University, Monufia, Egypt
- 3 Faculty of Medicine, Menoifya University, Monufia, Egypt
Abstract
Introduction: Antiphospholipid antibody syndrome is a complex autoimmune disease that can affect all systems of the body and characterized by presence of antiphospholipid antibodies that cause vascular thrombosis and pregnancy complications, kidney involvement is very common in patients with antiphos- pholipid syndrome and leads to many serious complications. Objectives: study the effect of antiphospholipid syndrome on kidneys. Data Sources: By searching and reviewing Medline databases (Pub Med and Medscape) and all renal involvement in antiphospholipid syndrome materials available till 2019. Study Selection: All studies were independently assessed for inclusion. They were included if they fulfilled the following criteria: 1) published in English language; 2) published in peer-reviewed journals; 3) discussed the involvement of kidney in antiphospholipid syndrome. Data Extraction: Data from each eligible study were independently abstracted using a data collection form to capture information related to our concerned study outcomes. If the studies did not fulfill the inclusion criteria, they were excluded. Study quality assessment includes if ethical approval is gained, eligibility criteria specified, adequate information and defined assessment measured. Data Synthesis: Structured review with the results tabulated was made for comparison. Conclusions: We can conclude that kidney affection in patients with antiphos- pholipid syndrome has a wide spectrum and variation.
- Myakis, S., Lockshin, M.D. and Atsumi, T. (2006) International Consensus Statement on an Update of the Classification Criteria for Definite Antiphospholipid Syndrome. Journal of Thrombosis and Haemostasis, 2, 295-306. https://doi.org/10.1111/j.1538-7836.2006.01753.x
- Pons-Estel, G.J., Andreoli, L., et al. (2017) The Antiphospholipid Syndrome in Patients with Systemic Lupus Erythematosus. Journal of Autoimmunity, 76, 10-20. https://doi.org/10.1016/j.jaut.2016.10.004
- Gracia-Tello, B. and Isenberg, D. (2016) Kidney Disease in Primary Antiphospholipid Antibody Syndrome. Rheumatology, 56, 1069-1080. https://doi.org/10.1093/rheumatology/kew307
- De Azevedo, F.V.A., et al. (2018) Renal Involvement in Antiphospholipid Syndrome. Rheumatology International, 38, 1777-1789. https://doi.org/10.1007/s00296-018-4040-2
- Kotb, H.A., et al. (2016) Renal Histopathological Changes and Clinical Characteristics of Antiphospholipid Nephropathy in Lupus Nephritis Patients. Kasr Al Ainy Medical Journal, 22, 1-18. https://doi.org/10.4103/1687-4625.182554
- Naseeb, F., et al. (2015) Histological Features of Antiphospholipid Nephropathy in Patients with Systemic Lupus Erythematosus. Journal of College of Physicians and Surgeons Pakistan, 25, 332-336.
- Mezzina, N. and Sinico, R.A. (2015) Antiphospholipid Syndrome and the Renal Involvement. In: Antiphospholipid Antibody Syndrome, Springer, Cham, 103-112. https://doi.org/10.1007/978-3-319-11044-8_9
- Jordan, N., Chaib, A., Sangle, S., et al. (2014) Association of Thrombotic Microangiopathy and Intimal Hyperplasia with Bleeding Post-Renal Biopsy in Antiphospholipid Antibody-Positive Patients. Arthritis Care & Research, 66, 725-731. https://doi.org/10.1002/acr.22200
- Gordon, C., et al. (2017) The British Society for Rheumatology Guideline for the Management of Systemic Lupus Erythematosus in Adults. Rheumatology, 57, 1-45. https://doi.org/10.1093/rheumatology/kex286
- Li, C., Wen, Y.B., Li, H., et al. (2019) Clinical Outcomes and Clinico-Pathological Correlations in Lupus Nephritis with Kidney Biopsy showing Thrombotic Micro- angiopathy. The Journal of Rheumatology, 46, 1478-1484. https://doi.org/10.3899/jrheum.180773
- Majdan, M. (2017) Kidney Involvement in Antiphospholipid Syndrome Current Diagnostic and Management Problems. Rheumatology, 55, 213-214. https://doi.org/10.5114/reum.2017.71626
- Marcantoni, C., Emmanuele, C. and Scolari, F. (2016) Renal Involvement in Primary Antiphospholipid Syndrome. Journal of Nephrology, 29, 507-515. https://doi.org/10.1007/s40620-016-0317-2