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Hi Dr. I Recently Was Tested For Apa And Anticardiolipin

Posted on Sat, 10 Oct 2020

Question: Hi dr. I recently was tested for apa and anticardiolipin and my anticardiolipin igm came back low positive and apa was slightly high at 32. Thank you

Answered by Dr. Divya Agarwal (12 hours later)

Brief Answer:
the significance is doubtful

Detailed Answer:
hi
these antibodies are significant if you have a history of thrombosis or recurrent pregnancy losses.
also if you have SLE.
so do u have any such history.
if yes then you may require treatment with blood thinners/ hydroxychloroquine.
regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Divya Agarwal (23 minutes later)

I have three auto immune diseases. I do not have lupus, but i do have premature ovarian failure amd unable to have children due to that so no pregnancy loss. No hx of thrombosis but a family history. Are these slightly elevated in certain illnesses or diseases that you are aware of? What would be the next step. Are they sometimes slightly elevated in healthy people? Thank you

Answered by Dr. Divya Agarwal (4 minutes later)

Brief Answer:
Yes

Detailed Answer:
yes they could be elevated even in healthy people.
If there is no particular illness as I have mentioned nothing further needs to be done regarding these.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Divya Agarwal (20 minutes later)

Do I need to retest or keep and eye on these labs?
Do these labs mean one is more susceptible to a thrombosis without previous thrombi or pregnancy loss?
Should I be on a prophylactic medication?
Do these labs confirm apa?
Would you recommend retesting or just leave this be? That will be all. Thank you Dr

Answered by Dr. Divya Agarwal (9 minutes later)

Brief Answer:
Not required

Detailed Answer:
hi
Retesting is not required.
Prophylaxis is not required without any symptoms of the disease.
Regards

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Divya Agarwal (26 minutes later)

I will close discussion after this dr.

Would.you say I had antiphospholid syndrome with these lab draw?

Follow up: Dr. Divya Agarwal (14 minutes later)

Also dr. Is there any significance with apa my labs and the pancreas that you are aware of? Thank you

Answered by Dr. Divya Agarwal (37 minutes later)

Brief Answer:
no

Detailed Answer:
hi
no dont think there is any relation.
we cannot consider it to be anti phospholipid without the primary symptoms

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Above answer was peer-reviewed by : Dr. Nagamani Ng