Lupus anticoagulants are antibodies against substances in the lining of cells. These substances prevent blood clotting in a test tube. They are called phospholipids.
Persons with these antibodies may have an abnormally high risk of blood clotting.
Causes, incidence, and risk factors
Most often lupus anticoagulants are found in persons with diseases such as systemic lupus erythematosus (SLE).
Lupus anticoagulants may also occur if:
- You take certain medicines, such as phenothiazines, phenytoin, hydralazine, quinine, and the antibiotic amoxicillin.
You have such conditions such as
Some people have no risk factors for this condition.
You may not have any symptoms. Symptoms that may occur include:
Signs and tests
The following tests may be done:
Often, you will not need treatment if you do not have symptoms or if you have never had a blood clot in the past.
Take the following steps to help prevent blood clots from forming:
- Avoid most birth control pills or hormone treatments for menopause (women).
- Do not smoke or use other tobacco products.
- Get up and move around during long plane flights or other times when you have to sit or lie down for extended periods.
- movie your ankles up and down when you can't move around.
Your doctor may prescribe blood thinning medicines (such as heparin and warfarin) to help prevent blood clots:
You may also need to take blood thinners for 3-4 weeks after surgery to lower your risk of blood clots.
- After surgery
- After a bone fracture
- With active cancer
- When you need to set or lie down for long periods of time, such as during a hospital stay or recovering at home.
Most of the time, outcome is good with proper treatment. Some people may have blood clots that are hard to control with treatments. Symptoms may recur.
Calling your health care provider
Call your health care provider if you notice symptoms of a blood clot such as:
- Swelling or redness in the leg
- Shortness of breath
- Pain, numbness and pale skin color in an arm or leg.
Harris ED, Budd RC, Genovese MC, Firestein GS, Sargent JS, Sledge CB. Kelley's Textbook of Rheumatology. 7th ed. St. Louis, Mo: WB Saunders; 2005.
Todd Gersten, MD, Hematology/Oncology, Palm Beach Cancer Institute, West Palm Beach, FL. Review provided by VeriMed Healthcare Network.Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, Bethanne Black, Stephanie Slon, and Nissi Wang.
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