Summary
The antiphospholipid syndrome (APS) is an autoimmune disorder characterized by the
clinical association of antiphospholipid autoantibodies (aPL) with a syndrome of hypercoagulability
that can affect any blood vessel, irrespective of type or size. Involvement of larger
vessels, such as arteries or veins, manifests in the form of thrombosis or embolism,
whereas involvement of smaller vessels, including capillaries, arterioles, and venules,
manifests as thrombotic microangiopathy. Virtually any organ in the body, including
the kidney, can be affected. Here, we review the basic principles and recent advances
in our understanding of APS, and discuss the broad spectrum of renal diseases that
have been observed in association with this syndrome. We also discuss the impact that
APS may have on pre-existing renal disease as well as current recommendations for
treatment of APS.
Keywords
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© 2007 Elsevier Inc. Published by Elsevier Inc. All rights reserved.