Pregnancy outcome in women with antiphospholipid syndrome and alloimmunity: a case report.
BACKGROUND
Patients with antiphospholipid syndrome and alloimmunity have poor pregnancy outcomes. Several diagnostic and therapeutic options exist for these disorders, although there is no consensus as to the best treatment.


METHODS
We present here the clinical course and treatment of a woman with a history of two miscarriages who joined our program 10 years ago and has been followed up ever since. After antiphospholipid syndrome and alloimmune failure were diagnosed, she was given preconceptional treatment using unfractionated heparin, aspirin, prednisone and lymphocyte immunizations. She delivered two premature babies in the following two pregnancies. At present both children are healthy and are attending school. The fifth pregnancy was unsuccessful, in spite of having undergone a similar but postconceptional therapeutic scheme. We discuss this case focusing on the pathogenic mechanisms and the therapeutic aspects of these disorders.
Castañeda Ospina
Serguei Abel
SA
Reproduction Program, School of Medicine, Universidad de Antioquia, Medellín, Colombia.
Cardona Maya
Wálter Darío
WD
Bueno Sánchez
Julio César
JC
Cadavid Jaramillo
Angela Patricia
AP
D000026:Abortion, Habitual / Q000276:immunology; D000328:Adult; D017152:Antibodies, Antiphospholipid / Q000302:isolation & purification*; D016736:Antiphospholipid Syndrome / Q000188:drug therapy / Q000276:immunology*; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy / Q000276:immunology*; D011256:Pregnancy Outcome; D011379:Prognosis
D017152:Antibodies, Antiphospholipid