Update of the guidelines for lupus anticoagulant detection. Subcommittee on Lupus Anticoagulant/Antiphospholipid Antibody of the Scientific and Standardisation Committee of the International Society on Thrombosis and Haemostasis.

TitleUpdate of the guidelines for lupus anticoagulant detection. Subcommittee on Lupus Anticoagulant/Antiphospholipid Antibody of the Scientific and Standardisation Committee of the International Society on Thrombosis and Haemostasis.
Publication TypeJournal Article
Year of Publication2009
AuthorsPengo V, Tripodi A, Reber G, Rand JH, Ortel TL, Galli M, De Groot PG
Corporate AuthorsSubcommittee on Lupus Anticoagulant/Antiphospholipid Antibody of the Scientific and Standardisation Committee of the International Society on Thrombosis and Haemostasis
JournalJ Thromb Haemost
Volume7
Issue10
Pagination1737-40
Date Published2009 Oct
ISSN1538-7836
KeywordsAnticoagulants, Antiphospholipid Syndrome, Artifacts, Blood Coagulation, Blood Specimen Collection, Female, Humans, Indicators and Reagents, Lupus Coagulation Inhibitor, Male, Partial Thromboplastin Time, Patient Selection, Phospholipids, Pregnancy, Pregnancy Complications, Hematologic, Prothrombin Time, Specimen Handling, Vitamin K
Abstract

One of the conclusions of the subcommittee meeting on Lupus Anticoagulant/Phospholipid dependent antibodies, held in Geneva on 2007, was the need to update the guidelines on Lupus Anticoagulant (LA) detection. Particular emphasis was given to several aspects discussed in this official communication. A new paragraph is dedicated to the patient selection, and aims to minimize inappropriate requests for LA testing. Modalities for blood collection and processing are fully delineated and the choice of tests is limited to dRVVT and a sensitive aPTT. Calculation of cut-off values for each diagnostic step are clearly stated. A final paragraph reports the interpretation of the results in general and in particular situations.

DOI10.1111/j.1538-7836.2009.03555.x
Alternate JournalJ Thromb Haemost
PubMed ID19624461
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