| LETTER |
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| Year : 2010 | Volume
: 56
| Issue : 1 | Page : 49 |
Antiphospholipid antibodies in stroke
V Sharma
University College of Medical Sciences (University of Delhi), Delhi, India
| Date of Web Publication | 12-Apr-2010 |
Correspondence Address:
V Sharma
University College of Medical Sciences (University of Delhi), Delhi
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0022-3859.62417
How to cite this article:
Sharma V. Antiphospholipid antibodies in stroke. J Postgrad Med 2010;56:49 |
Sir,
We read with interest the research article "Antiphospholipid antibodies in young Indian patients with stroke." [1] The authors have done well to evaluate the role of antiphospholipid antibodies (APLA) in young Indian patients with stroke. While the status of diabetes, smoking and hyperlipidemia has been mentioned, the authors have failed to mention the status of hypertension in the study population as also the controls. Hypertension, arguably, is amongst the most important risk factors for ischemic stroke.
It would have been interesting if these patients had been evaluated for other causes of arterial thrombosis e.g. homocystinuria, dysfibrinogenemia and hematological risk factors. This would have clarified the exact causation of APLA in stroke by ruling out other causes of thrombophilia. The results would have been of added value if they had been repeated after 12 weeks. [2] It would have been important for the management of these patients. Such patients who qualify for the diagnosis of antiphospholipid syndrome would need long-term, possibly lifelong anticoagulation. [3]
| :: References | |  |
| 1. | Mishra MN, Rohatgi S. Antiphospholipid antibodies in young Indian patients with stroke. J Postgrad Med 2009;55:161-4.  [PUBMED]  |
| 2. | Miyakis S, Lockshin MD, Atsumi T, Branch DW, Brey RL, Cervera R, et al. International consensus statement on an update of the classification criteria for definite antiphospholipid syndrome (APS). J Thromb Haemost 2006;4:295-306. [PUBMED] [FULLTEXT] |
| 3. | Lim W, Crowther MA, Eikelboom JW. Management of antiphospholipid antibody syndrome: a systematic review. JAMA 2006;295:1050-7. [PUBMED] [FULLTEXT] |
| This article has been cited by | | 1 |
Authorsę reply |
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| Mishra, M. and Rohatgi, S. | | Journal of Postgraduate Medicine. 2010; 56(1): 49-50 | | [Pubmed] | |
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