Not every pregnancy may result in a healthy birth, and some may experience miscarriage. Recurrent miscarriages can have many different causes. Rheumatic diseases may also be among these reasons. Antiphospholipid syndrome is one of the causes of recurrent miscarriages in pregnant women. A significant portion of these patients are referred to the "Rheumatology" department by gynecologists and obstetricians due to recurrent miscarriages.
Antiphospholipid syndrome should be considered in the presence of recurrent miscarriages and/or recurrent vascular occlusions.
Antiphospholipid syndrome. It sometimes occurs as a single disease (primary), or sometimes accompanied by a rheumatological disease such as systemic lupus erythematosus (secondary). Diagnosis is generally easier in Antiphospholipid syndrome accompanying rheumatic diseases. However, in patients who are not accompanied by another rheumatic disease, diagnosis may be delayed a little longer. Previous recurrent vascular occlusions in these patients are a very important clue. For example, if the patient developed a blockage in the foot veins six months ago, this is of great importance for diagnosis. Or the patient's previous recurrent miscarriages, high blood pressure during pregnancy, high blood pressure as well as seizures suggest Antiphospholipid Syndrome. To make a diagnosis, it is not enough to have findings such as miscarriage or vascular occlusion. In addition, the tests determined for this disease must be positive. In addition, changes in some laboratory tests that may be observed during the disease should also be evaluated.
To summarize, for the diagnosis of antiphospholipid syndrome, the patient's findings such as miscarriage and/or vascular occlusion, as well as the positivity of laboratory tests determined for the disease, are required. If there is another underlying rheumatic disease, anticoagulant drugs are used in addition to its treatment.
It should not be forgotten that each patient's complaints and laboratory tests may vary individually. Regarding this condition, the treatment of each patient may vary individually. Therefore, diagnosis, treatment and monitoring of antiphospholipid syndrome Regular follow-up by an internal medicine rheumatologist is very important in diagnosis.
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