title: [Combined therapy in pregnancy with primary antiphospholipid syndrome].
abstract: Patients with antiphospholipid syndrome have a high frequency of mid-pregnancy intrauterine growth retardation or fetal death. The authors report the case of a 28 year old pregnant woman with antiphospholipid syndrome with severe obstetrical complications (spontaneous abortion, missed abortion) in the past history. By means of the administration of combined immunomudulant (intravenous immunoglobulin, steroid), anticoagulant and antiplatelet therapy we could prevent a subsequent pregnancy loss of the patient. Apropos of this case the authors give an overview on the monitoring of the disease and the therapeutical recommendations of the literature.
authors.affiliation: Debreceni Egyetem, Orvos- és Egészségtudományi Centrum III. Belgyógyászati Klinika, Klinikai Immunológia Tanszék.
authors.forename: Péter
authors.initials: P
authors.lastname: Szodoray
authors.forename: György
authors.initials: G
authors.lastname: Bacskó
authors.forename: Gabriella
authors.initials: G
authors.lastname: Lakos
authors.forename: Margit
authors.initials: M
authors.lastname: Zeher
mesh_terms: D000328:Adult; D017153:Antibodies, Anticardiolipin / Q000097:blood; D017152:Antibodies, Antiphospholipid / Q000097:blood; D000925:Anticoagulants / Q000627:therapeutic use*; D016736:Antiphospholipid Syndrome / Q000175:diagnosis / Q000188:drug therapy* / Q000276:immunology*; D001323:Autoantibodies / Q000097:blood; D004359:Drug Therapy, Combination; D005260:Female; D005313:Fetal Death / Q000517:prevention & control; D005317:Fetal Growth Retardation / Q000517:prevention & control; D006023:Glycoproteins / Q000276:immunology; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use*; D011247:Pregnancy; D011264:Pregnancy Trimesters; D053482:beta 2-Glycoprotein I
chemical_list: D017153:Antibodies, Anticardiolipin; D017152:Antibodies, Antiphospholipid; D000925:Anticoagulants; D001323:Autoantibodies; D006023:Glycoproteins; D016756:Immunoglobulins, Intravenous; D010975:Platelet Aggregation Inhibitors; D053482:beta 2-Glycoprotein I