Demographic and clinical characteristics of the study population
. | Total (n = 11) . | Responders (n = 5) . | Nonresponders (n = 6) . |
---|---|---|---|
Age, median (IQR), y | 48 (24) | 46 (40) | 53 (23) |
Female, n | 8 | 4 | 4 |
APS duration, median (IQR), y | 12 (15) | 13 (37) | 11 (10) |
Inaugural CAPS | 2 | 2 | 0 |
History of venous thrombosis | 6 | 2 | 5 |
History of arterial thrombosis | 3 | 1 | 2 |
History of CAPS | 2 | 0 | 2 |
History of obstetrical manifestation | 2 | 0 | 2 |
Associated systemic lupus | 4 | 3 | 1 |
aPL triple positivity at diagnosis | 11 | 5 | 6 |
CAPS clinical features | |||
Cardiac failure | 6 | 3 | 3 |
Cutaneous (livedo reticularis, necrosis) | 8 | 5 | 3 |
Renal failure | 10 | 4 | 6 |
Cerebrovascular involvement | 4 | 3 | 1 |
Venous thrombosis | 4 | 1 | 3 |
Peripheral artery thrombosis | 2 | 1 | 1 |
Adrenal ischemic hemorrhage | 3 | 2 | 1 |
Diffuse alveolar hemorrhage | 3 | 1 | 2 |
Liver infarct | 2 | 1 | 1 |
Gastrointestinal involvement | 3 | 1 | 2 |
Thrombocytopenia | 11 | 5 | 6 |
Median (IQR) platelet count before, × 109/L | 19 (96) | 14 (54) | 79 (207) |
Median (IQR) platelet count after, × 109/L | 89 (165) | 89 (113) | 111 (212) |
MAHA | 6 | 4 | 2 |
Dialysis | |||
Before eculizumab | 4 | 1 | 3 |
After eculizumab (short term) | 5 | 1 | 4 |
Therapy before eculizumab | |||
Anticoagulant therapy | 11 | 5 | 6 |
PE | 10 | 4 | 6 |
PEs, median (IQR) | 7 (13) | 8 (11) | 5 (14) |
Corticosteroids | 11 | 5 | 6 |
IVIG | 4 | 3 | 1 |
Rituximab | 3 | 3 | 0 |
Other immunosuppressive drug* | 2 | 2 | 0 |
. | Total (n = 11) . | Responders (n = 5) . | Nonresponders (n = 6) . |
---|---|---|---|
Age, median (IQR), y | 48 (24) | 46 (40) | 53 (23) |
Female, n | 8 | 4 | 4 |
APS duration, median (IQR), y | 12 (15) | 13 (37) | 11 (10) |
Inaugural CAPS | 2 | 2 | 0 |
History of venous thrombosis | 6 | 2 | 5 |
History of arterial thrombosis | 3 | 1 | 2 |
History of CAPS | 2 | 0 | 2 |
History of obstetrical manifestation | 2 | 0 | 2 |
Associated systemic lupus | 4 | 3 | 1 |
aPL triple positivity at diagnosis | 11 | 5 | 6 |
CAPS clinical features | |||
Cardiac failure | 6 | 3 | 3 |
Cutaneous (livedo reticularis, necrosis) | 8 | 5 | 3 |
Renal failure | 10 | 4 | 6 |
Cerebrovascular involvement | 4 | 3 | 1 |
Venous thrombosis | 4 | 1 | 3 |
Peripheral artery thrombosis | 2 | 1 | 1 |
Adrenal ischemic hemorrhage | 3 | 2 | 1 |
Diffuse alveolar hemorrhage | 3 | 1 | 2 |
Liver infarct | 2 | 1 | 1 |
Gastrointestinal involvement | 3 | 1 | 2 |
Thrombocytopenia | 11 | 5 | 6 |
Median (IQR) platelet count before, × 109/L | 19 (96) | 14 (54) | 79 (207) |
Median (IQR) platelet count after, × 109/L | 89 (165) | 89 (113) | 111 (212) |
MAHA | 6 | 4 | 2 |
Dialysis | |||
Before eculizumab | 4 | 1 | 3 |
After eculizumab (short term) | 5 | 1 | 4 |
Therapy before eculizumab | |||
Anticoagulant therapy | 11 | 5 | 6 |
PE | 10 | 4 | 6 |
PEs, median (IQR) | 7 (13) | 8 (11) | 5 (14) |
Corticosteroids | 11 | 5 | 6 |
IVIG | 4 | 3 | 1 |
Rituximab | 3 | 3 | 0 |
Other immunosuppressive drug* | 2 | 2 | 0 |
Unless otherwise stated, the data are the number of patients.
IVIG, intravenous immunoglobulin.
Endoxan and vinblastine.