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. 2018 Sep 12;194(1):27–38. doi: 10.1111/cei.13180

Table 2.

Significant associations between disease phenotypes/serologies/damage/pharmacotherapy and each independent anti‐cardiolipin antibodies (aCL)/anti‐β2‐glycoprotein‐I (anti‐β2GPI) isotype and lupus anti‐coagulant (LA) (pos/neg) expressed by odds ratios (OR) with 95% confidence intervals

aCL anti‐β2GPI LA Triple‐positiveb
IgG (51/526) IgA (45/526) IgM (28/526) IgG (38/526) IgA (74/526) IgM (63/526) (128/499) (49/499)
Caucasian ethnicity (n = 476) 8%a, c
Ever smoker (n = 263) 2·39 (1·18–4·83) 1·73 (1·15–2·60)
Malar rash (n = 260) 0·48 (0·26–0·88) 0·26 (0·10–0·66) 0·49 (0·29–0·85) 0·50 (0·33–0·76) 0·46 (0·25–0·86)
Discoid rash (n = 98) 0·42 (0·17–0·99)
Photosensitivity (n = 327) 0·35 (0·20–0·64) 0·53 (0·29–0·96) 0·49 (0·26–0·95) 0·46 (0·28–0·76) 0·42 (0·25–0·72) 0·62 (0·41–0·93) 0·50 (0·28–0·91)
Thrombocytopenia (n = 90) 1·99 (1·02–3·85)
Raynaud (n = 181) 0·45 (0·24–0·84)
Anti‐dsDNA antibody (n = 310) 2·23 (1·13–4·40) 1·78 (1·04–3·03)
Anti‐SSA/Ro52 (n = 155) 0·25 (0·09–0·73) 0·26 (0·12–0·59) 0·60 (0·37–0·96)
Anti‐SSA/Ro60 (n = 213) 0·48 (0·25–0·93) 0·33 (0·17–0·62) 0·61 (0·40–0·93) 0·51 (0·26–0·99)
Anti‐SSB (n = 131) 0·30 (0·12–0·77) 0·15 (0·04–0·63) 0·33 (0·15–0·75) 0·53 (0·32–0·89) 0·39 (0·16–0·95)
APS, clinical (n = 98) 4·82 (2·64–8·80) 6·03 (3·25–11·20) 3·59 (1·64–7·87) 6·21 (3·16–12·20) 4·46 (2·63–7·56) 4·02 (2·30–7·01) 12·55 (7·51–20·98) 7·75 (4·17–14·41)
APS, classification (n = 76) 5·35 (2·86–9·98) 6·64 (3·52–12·53) 4·31 (1·93–9·61)a 7·17 (3·61–14·23) 4·72 (2·70–8·26) 3·96 (2·20–7·13) 10·51 (6·02–18·35) 9·65 (5·13–18·18)
Any arterial event (n = 77) 2·16 (1·01–4·64) 3·01 (1·78–5·09) 2·33 (1·17–4·63)
Valvular disease (n = 44) 4·22 (2·01–8·85)a 2·48 (1·29–4·76) 2·37 (1·03–5·43)a
Arterial embolism (myocardial infarction or ischaemic stroke) (n = 73) 2·09 (1·04–4·21) 2·61 (1·52–4·48) 2·21 (1·09–4·47)
Cerebrovascular lesion (n = 61) 2·34 (1·13–4·84) 3·27 (1·85–5·81) 2·14 (1·01–4·55)
Ischaemic stroke (n = 47) 3·35 (1·59–7·09)a 2·44 (1·01–5·89)a 2·31 (1·14–4·68) 4·53 (2·36–8·66) 3·05 (1·41–6·60)a
Transient ischaemic attack (n = 19) 3·76 (1·29–10·92)a
Venous thrombo‐embolism (deep vein thrombosis or pulmonary embolism) (n = 72) 2·32 (1·14–4·71) 2·36 (1·10–5·09) 1·95 (1·01–3·75) 2·88 (1·70–4·89) 2·56 (1·28–5·10)
Deep vein thrombosis (n = 64) 2·73 (1·34–5·58) 2·27 (1·28–5·99)a 2·31 (1·19–4·47) 3·00 (1·74–5·18) 3·02 (1·50–6·06)
Pulmonary embolism (n = 23) 13%a, d
Intermittent claudication (n = 7) 7·36 (1·60–33·86)a 8·55 (1·87–39·03)a 7·50 (1·44–39·15)a 7·71 (1·67–35·52)a
Neuropsychiatric damage (n = 129) 2·38 (1·31–4·32) 2·03 (1·30–3·17) 1·91 (1·03–3·55)
Cardiovascular damage (n = 73) 3·00 (1·55–5·81) 2·19 (1·26–3·81) 2·21 (1·09–4·47)
Peripheral vascular damage (n = 49) 2·96 (1·37–6·40)a 2·89 (1·11–7·50)a 2·81 (1·21–6·51)a 2·17 (1·07–4·39) 2·65 (1·30–5·40) 2·87 (1·56–5·30) 3·34 (1·58–7·07)a
Any miscarriage (n = 78) 2·51 (1·26–4·97) 2·22 (1·01–4·85) 1·71 (1·01–2·91) 2·29 (1·14–4·61)
≥1 miscarriage (beyond the 10th week of gestation) (n = 46) 3·04 (1·39–6·64)a 3·17 (1·34–7·50)a 2·18 (1·15–4·12) 2·66 (1·19–5·96)a
Warfarin (ongoing) (n = 103) 2·76 (1·49–5·11) 3·07 (1·65–5·74) 4·60 (2·12–9·98) 3·20 (1·62–6·31) 2·84 (1·67–4·85) 2·91 (1·66–5·10) 6·83 (4·22–11·06) 4·39 (2·38–8·08)
Salicylic acid (ongoing) (n = 114) 2·15 (1·16–3·98) 1·93 (1·02–3·67) 2·08 (1·22–3·54) 1·84 (1·16–2·93)

APS = anti‐phospholipid syndrome.

a

Fisher’s exact test.

b

At least one positive isotype of aCL combined with any anti‐β2GPI isotype plus a positive LA test.

c

OR not possible to calculate as none of 50 (0%) non‐Caucasian patients have anti‐β2GPI immunoglobulin (Ig)G; 38 of 476 (8%) Caucasian patients have anti‐β2GPI IgG.

d

OR not possible to calculate as none of 23 (0%) patients with pulmonary embolism do not have anti‐β2GPI IgM; 64 of 503 (13%) of patients with pulmonary embolism have anti‐β2GPI IgM.