Quote:
Originally Posted by en bloc
If you have only had one positive test for APS, then yes, you should be rechecked in 6 months. A good physician that is knowledgeable about APS will also check other clotting factors (like Protein C, Protein S, Glycoprotien and Factor V). It's not a simple one test diagnosis. Much of the general population can have a positive aCL (anticardiolipin), yet NOT have APS. Kind of like having a high ANA alone doesn't mean you have Lupus or Sjogren's or any other autoimmune disease. It's a comprehensive process and includes thrombotic events/symptoms.
Have you had a thrombotic event of any sort?
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Hi En Bloc,
You are sharing lots of good info.
I just want to mention the fact that not all Hematologists/Rheumatolgists (or other specialists in APS) adhere strictly to these "generalized" guidelines of when to retest, when to officially diagnose APS, when to treat for APS, etc.
Some do not require a "thrombotic" event prior to treating the patient, depending upon the patient's full picture of symptoms/signs/labs/history, etc.
There are many nuances, many extenuating circumstances, as well as varying opinions on the part of APS Specialists.
With APS (and other abnormal clotting disorders), it's critical the patient be fully assessed by an experienced specialist.
I hope this helps!
Warmly,
DejaVu