Camps García M T, Gutiérrez Rueda A, Guil García M, Sedeño Díaz J, García Portales R, Belmonte López A, de Ramón Garrido E
Servicio de Medicina Interna, Hospital Regional del SAS Carlos Haya, Málaga.
An Med Interna. 1992 Dec;9(12):585-90.
According to case and control studies we determine the prevalence of anticardiolipin antibodies (ACA) and autoimmune phenomena in 23 women with recurrent abortions (two or more) without apparent cause after study, using as pattern a sample of 86 patients belonging to different subgroups: 21 women with only one abortion, 15 with toxemia, 30 healthy pregnants and 20 healthy non-pregnants. We found that 6 (26%) of the cases with recurrent abortions showed high ACA-IgG versus 6 (7%) of the control group (p = 0.009), with an odds ratio (OR) of 4.7 (Confidence Interval [CI] 95%, 1.4-15). We didn't find a relation with ACA-IgM, OR or 2.2 (CI 95%, 0.72-6.50; p = 0.160). Our patients only showed as manifestation of antiphospholipid antibodies syndrome, recurrent abortions, finding neither association with thrombotic phenomena, nor thrombocytopenia. They didn't show either clinical or analytical manifestations of autoimmune disease. We concluded that the ACA-IgG can be associated to the fetal loss in these kind of patients.
根据病例对照研究,我们以86名属于不同亚组的患者为样本进行研究,确定了23例原因不明的复发性流产(两次或更多次)女性中抗心磷脂抗体(ACA)的患病率和自身免疫现象。这些亚组包括:21例仅有一次流产的女性、15例患有子痫前期的女性、30例健康孕妇和20例健康非孕妇。我们发现,复发性流产病例中有6例(26%)ACA-IgG水平较高,而对照组中有6例(7%)(p = 0.009),优势比(OR)为4.7(95%置信区间[CI],1.4 - 15)。我们未发现与ACA-IgM有关联,OR为2.2(95%CI,0.72 - 6.50;p = 0.160)。我们的患者仅表现出抗磷脂抗体综合征的复发性流产这一症状,未发现与血栓形成现象或血小板减少有关。他们也未表现出自身免疫性疾病的临床或分析学表现。我们得出结论,ACA-IgG可能与这类患者的胎儿丢失有关。