Agarwal M B, Agarwal U M
Bombay Hospital.
J Assoc Physicians India. 1991 Mar;39(3):243-5.
Eight cases with lupus anticoagulants (LA) were diagnosed over the last five years (1984-88). Of these, three were established cases of systemic lupus erythematosus (SLE), where bad obstetric history (2 cases) and recurrent deep venous thrombosis (DVT--1 case) prompted execution of laboratory tests for LA. In the remaining 5 cases, there was no clinical evidence of SLE. However, one case developed laboratory findings suggestive of SLE at a later date. One of these 5 patients was referred for unexplained abnormality in partial thromboplastin time (K). Three had recurrent abortions (one with additional history of DVT) while one had DVT with raised PTT (K). The clinical findings and laboratory tests by which lupus anticoagulants can be diagnosed have been discussed.
在过去五年(1984 - 1988年)间确诊了8例狼疮抗凝物(LA)病例。其中,3例为系统性红斑狼疮(SLE)确诊病例,不良产科病史(2例)和复发性深静脉血栓形成(DVT - 1例)促使进行了狼疮抗凝物的实验室检查。在其余5例中,无SLE的临床证据。然而,其中1例在后来出现了提示SLE的实验室检查结果。这5例患者中有1例因部分凝血活酶时间(K)不明原因异常而转诊。3例有复发性流产(1例有额外的DVT病史),而1例有DVT且部分凝血活酶时间(K)升高。文中讨论了可用于诊断狼疮抗凝物的临床发现和实验室检查。