Detailed Information

Cited 1 time in webofscience Cited 1 time in scopus
Metadata Downloads

Proliferative Vasculopathy Associated With Antiphospholipid Antibodies in Patients With Neurological Symptoms

Full metadata record
DC Field Value Language
dc.contributor.authorYeo, Jina-
dc.contributor.authorHwang, Inpyeong-
dc.contributor.authorSohn, Chul-Ho-
dc.contributor.authorLee, Eunyoung Emily-
dc.contributor.authorLee, Soon-Tae-
dc.contributor.authorLee, Eun Bong-
dc.contributor.authorPark, Jin Kyun-
dc.date.accessioned2022-08-28T00:40:08Z-
dc.date.available2022-08-28T00:40:08Z-
dc.date.created2022-08-19-
dc.date.issued2022-06-
dc.identifier.issn2296-858X-
dc.identifier.urihttps://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/85308-
dc.description.abstractBackgroundProliferative vasculopathy (PV) associated antiphospholipid syndrome (APS) in the central nervous system is a rare un(der)recognized form of extra-criteria manifestations of APS. This study investigated the angiographic characteristics of cerebral and cervical arteries in patients with PV associated with antiphospholipid antibodies (aPLs). MethodsPatients with aPLs, neurologic symptoms and diffuse luminal narrowing on brain or neck magnetic resonance angiography were selected from electronic medical records. Vascular wall and intraluminal pathology were examined by high-resolution vessel wall MR imaging (VW-MRI). ResultsA total of 11 patients (six men and five women) with PV-aPL, of median (interquartile range) age 42 (34-61) years, were included. Median anticardiolipin antibodies IgG titer was 78.9 (28.2-134.0) units and anti-beta 2 glycoprotein I antibodies (aB2GPIs) IgG titer was 227.2 (0.0-1012.1) units. All patients had diffuse luminal narrowing in the carotid basilar and/or cerebral arteries, five in the internal carotid artery (ICA); two each in the middle cerebral artery (MCA) and vertebral artery; and one each in the basilar artery (BA) and posterior cerebral artery. On VW-MRI, four patients showed concentric thickening of the vascular walls of the ICA and/or MCA and two showed mild eccentric wall thickening of the ICA or BA. All patients received antithrombotic treatment. In two patients with extremely high aB2GPIs titer, diffuse narrowing progressed despite treatment with antithrombotic agents on follow-up imaging. ConclusionsThis study suggests that PV-aPL might be a distinct extra-criteria manifestation of APS that can manifest as long-segmental diffuse stenosis of cerebral and cervical arteries. It should be considered in relatively young patients with neurologic symptoms and aPLs.-
dc.language영어-
dc.language.isoen-
dc.publisherFRONTIERS MEDIA SA-
dc.relation.isPartOfFRONTIERS IN MEDICINE-
dc.titleProliferative Vasculopathy Associated With Antiphospholipid Antibodies in Patients With Neurological Symptoms-
dc.typeArticle-
dc.type.rimsART-
dc.description.journalClass1-
dc.identifier.wosid000820449300001-
dc.identifier.doi10.3389/fmed.2022.913203-
dc.identifier.bibliographicCitationFRONTIERS IN MEDICINE, v.9-
dc.description.isOpenAccessY-
dc.identifier.scopusid2-s2.0-85133668328-
dc.citation.titleFRONTIERS IN MEDICINE-
dc.citation.volume9-
dc.contributor.affiliatedAuthorYeo, Jina-
dc.type.docTypeArticle-
dc.subject.keywordAuthorantiphospholipid syndrome-
dc.subject.keywordAuthorCNS vasculopathy-
dc.subject.keywordAuthormagnetic resonance angiography-
dc.subject.keywordAuthorproliferative vasculopathy-
dc.subject.keywordAuthorstenosis and obstruction-
dc.subject.keywordPlusINTERNATIONAL CONSENSUS STATEMENT-
dc.subject.keywordPlusANTICARDIOLIPIN ANTIBODY-
dc.subject.keywordPlusCLASSIFICATION CRITERIA-
dc.subject.keywordPlusISCHEMIC-STROKE-
dc.subject.keywordPlusMANIFESTATIONS-
dc.subject.keywordPlusINVOLVEMENT-
dc.subject.keywordPlusMORTALITY-
dc.subject.keywordPlusDIAGNOSIS-
dc.subject.keywordPlusRISK-
dc.relation.journalResearchAreaGeneral & Internal Medicine-
dc.relation.journalWebOfScienceCategoryMedicine, General & Internal-
dc.description.journalRegisteredClassscie-
dc.description.journalRegisteredClassscopus-
Files in This Item
There are no files associated with this item.
Appears in
Collections
ETC > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Altmetrics

Total Views & Downloads

BROWSE