AAAAA
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28 y/o white female presented to your office with recently diagnosis of LAC Lupus anticardiolipin antibodies and lupus coagulant (LAA) positive.
She would like to become pregnant. What is your management of this patient.
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| drdeerajnathl
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Low dose aspirin
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| AAAAA
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Fairly good answer ! But she is going to be pregnant ! Would you still put her on aspirin if she is pregnant ???
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| AAAAA
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The answer is not settled yet !
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| AAAAA
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For most pt with hx of multiple spontaneous abortion , recurrent thrombosis and high titer of anticardiolipin antibodies, coumadin is prescribed but low-dose aspirin or heparin is used in pregnant patients to prevent fetal loss for those with history of thrombosis !
But this patient has no history of thrombosis and is NOT pregnant, so the management is DO NOTHING !!! Nothing should be prescribed to patients !!!!
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| AAAAA
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APS without prior pregnancy loss or thrombosis---- No treatment or daily treatment with low-dose aspirin or daily treatment with prophylactic doses of heparin plus low-dose aspirin
Optimal management uncertain No treatment or daily treatment with low-dose aspirin
Optimal management uncertain
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| AAAAA
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The recommendation by the specialist is no treatment or daily treatment of aspirin is acceptable.
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| study_ing
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interesting!!
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