Clinical manifestations | Control group (n = 185) | Seronegative APS (n = 82) | P-value (SN-APS vs. controls) | Single-positive aPL (n = 88) | P-value (SP-APS vs. controls) |
---|---|---|---|---|---|
Thrombosis | N = 167 | n = 66 | n = 64 | ||
Number of thrombotic events (median, IQR) | 1 [1–1] | 1.5 [1–2] | p<0.001 | 1 [1–2] | p=0.004 |
Arterial thrombosis only (n, %) | 77 (46.1) | 24 (36.4) | p=0.268 | 14 (21.9) | p=0.007 |
Venous thrombosis only (n, %) | 79 (47.3) | 33 (50.0) | p=0.698 | 43 (67.2) | p=0.208 |
Both arterial and venous thrombosis (n, %) | 11 (6.6) | 9 (13.6) | p=0.156 | 7 (10.9) | p=0.533 |
Stroke (n, %) | 48 (28.7) | 22 (33.3) | p=0.894 | 9 (14.1) | p=0.008 |
TIA (n, %) | 9 (5.4) | 8 (12.1) | p=0.408 | 3 (4.7) | p=0.581 |
Limb ischemia (n, %) | 6 (3.6) | 6 (9.1) | p=0.783 | 3 (4.7) | p=0.699 |
Acute myocardial infarction (n, %) | 21 (12.6) | 6 (9.1) | p=0.189 | 9 (14.1) | p=0.669 |
Pulmonary embolism (n, %) | 27 (16.2) | 18 (27.3) | p=0.262 | 18 (28.1) | p=0.136 |
DVT (n, %) | 56 (33.5) | 28 (42.4) | p=0.157 | 21 (32.8) | p=0.656 |
Cerebral vein thrombosis (n, %) | 19 (11.4) | 6 (10.6) | p=0.228 | 14 (21.9) | p=0.045 |
Retinal vessels thrombosis (n, %) | 3 (1.8) | 2 (3.0) | p=0.349 | 2 (3.1) | p=0.827 |
Obstetric | N = 19 | n = 21 | n = 29 | ||
Number of abortions (median, IQR) | 3.0 [1–5] | 3 [1.5–4] | p = 0.473 | 3 [1–4] | p = 0.384 |
More than three abortions <10 weeks (n, %) | 10 (52.6) | 5 (23.8) | p = 0.065 | 15 (48.3) | p = 0.951 |
Miscarriage >10 weeks (n, %) | 8 (42.1) | 14 (66.7) | p = 0.123 | 11 (37.9) | p = 0.773 |
Prematurity <34 weeks (n, %) | 3 (15.8) | 5 (23.8) | p = 0.529 | 3 (10.3) | p = 0.579 |
Placental ischemia (n, %) | 5 (26.3) | 12 (57.1) | p = 0.054 | 8 (27.6) | p = 0.923 |
Treatment | |||||
Thrombosis patients | n = 167 | n = 66 | n = 64 | ||
Indefinite anticoagulation (n, %) | 54 (32.3) | 40 (60.6) | p < 0.001 | 33 (51.6) | p = 0.008 |
Vitamin K antagonist (n, %) | 29 (17.4) | 28 (42.4) | p < 0.001 | 28 (43.8) | p < 0.001 |
Direct oral anticoagulant (n, %) | 25 (15.0) | 12 (18.2) | p = 0.546 | 5 (7.8) | p = 0.155 |
Antiplatelet therapy (n, %) | 68 (40.7) | 23 (34.8) | p = 0.408 | 13 (20.3) | p = 0.004 |
Hydroxychloroquine (n, %) | 1 (0.6) | 5 (7.6) | p = 0.018 | 5 (7.8) | p = 0.017 |
Anticoagulation duration [median (months), IQR] | 20.5 [11–73.8] | 74.5 [23.3–114.8] | p < 0.001 | 61 [14–113] | p = 0.013 |
Obstetric patients (during pregnancy) (n, %) | n = 18 | n = 21 | n = 29 | ||
Any treatment | 13 (72.2) | 11 (52.4) | p = 0.209 | 16 (55.2) | p = 0.246 |
Aspirin monotherapy | 2 (11.1) | 0 (0) | p = 0.998 | 3 (10.3) | p = 0.934 |
LMWH/aspirin combination | 11 (61.1) | 10 (47.6) | p = 0.401 | 13 (44.8) | p = 0.280 |
Hydroxychloroquine | 6 (33.3) | 3 (14.3) | p = 0.169 | 3 (10.3) | p = 0.063 |