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ABSTRACT
The antiphospholipid syndrome (APS) is defined by the development of venous and/or
arterial thromboses, often multiple, and pregnancy morbidity (mainly, recurrent fetal
losses), in the presence of antiphospholipid antibodies (aPL). Some estimates indicate
that the incidence of the APS is around 5 new cases per 100,000 persons per year and
the prevalence around 40–50 cases per 100,000 persons. The aPL are positive in approximately
13% of patients with stroke, 11% with myocardial infarction, 9.5% of patients with
deep vein thrombosis and 6% of patients with pregnancy morbidity.
Currently, there is consensus in treating APS patients with thrombosis with long-term
oral anticoagulation and to prevent obstetric manifestations with the use of aspirin
and heparin. This review summarizes the main knowledge on the clinical and therapeutic
aspects of this syndrome.
Keywords
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