Table 1.
All APS (n = 21) |
Primary APS (n = 10) | Secondary APS (n = 11) | p valuea | ||||
---|---|---|---|---|---|---|---|
Median Age at Diagnosis | 16 | (8–18) | 16 | (12–18) | 16 | (8–18) | 0.42 |
Sex | |||||||
Female | 16 | (76%) | 8 | (80%) | 8 | (73%) | 0.70 |
Male | 5 | (24%) | 2 | (20%) | 3 | (27%) | 0.70 |
Race/Ethnicity | |||||||
White or Caucasian | 17 | (81%) | 7 | (70%) | 10 | (91%) | 0.23 |
Black or African-American | 3 | (14%) | 2 | (20%) | 1 | (9%) | 0.49 |
Hispanic | 1 | (5%) | 1 | (10%) | 0 | (0%) | 0.29 |
Clinical Manifestations | |||||||
Obstetric | 1 | (5%) | 0 | (0%) | 1 | (9%) | 0.34 |
Thrombotic | 20 | (95%) | 10 | (100%) | 10 | (91%) | 0.34 |
Venous | 13 | (62%) | 8 | (80%) | 5 | (45%) | 0.11 |
Arterial | 6 | (29%) | 1 | (10%) | 5 | (45%) | 0.079 |
Small vessel | 5 | (24%) | 3 | (30%) | 2 | (18%) | 0.54 |
Catastrophic APS | 0 | (0%) | 0 | (0%) | 0 | (0%) | |
Non-criteria Manifestations | |||||||
Thrombocytopenia | 11 | (52%) | 6 | (60%) | 6 | (55%) | 0.52 |
AIHA | 9 | (43%) | 4 | (40%) | 6 | (55%) | 0.80 |
Livedo | 5 | (24%) | 3 | (30%) | 2 | (18%) | 0.54 |
White matter lesions | 3 | (14%) | 1 | (10%) | 2 | (18%) | 0.60 |
Seizure | 3 | (14%) | 1 | (10%) | 2 | (18%) | 0.60 |
APS nephropathy | 2 | (10%) | 1 | (10%) | 1 | (9%) | 0.95 |
Skin ulcer | 1 | (5%) | 0 | (0%) | 1 | (9%) | 0.34 |
Valve abnormality | 1 | (5%) | 1 | (10%) | 0 | (0%) | 0.29 |
Cognitive changes | 1 | (5%) | 0 | (0%) | 1 | (9%) | 0.34 |
MS-like features | 1 | (5%) | 0 | (0%) | 1 | (9%) | 0.34 |
Laboratory Manifestations | |||||||
Anti-β2-glycoprotein I | 14 | (64%) | 8 | (80%) | 7 | (64%) | 0.42 |
Anti-cardiolipin | 17 | (81%) | 9 | (90%) | 7 | (64%) | 0.16 |
Lupus anticoagulant | 11 | (52%) | 6 | (60%) | 6 | (55%) | 0.80 |
Triple positive | 10 | (48%) | 6 | (60%) | 4 | (36%) | 0.29 |
ANA | 9 | (43%) | 0 | (0%) | 9 | (82%) | 0.00020 |
Anti-double-stranded DNA | 10 | (48%) | 1 | (10%) | 9 | (82%) | 0.0013 |
Anti-chromatin | 8 | (38%) | 1 | (10%) | 7 | (64%) | 0.014 |
Anti-Sm | 3 | (14%) | 0 | (0%) | 3 | (27%) | 0.082 |
Recurrent Events | 9 | (43%) | 4 | (40%) | 5 | (45%) | 0.81 |
aComparing primary and secondary APS by unpaired t-test or Chi-squared test
AIHA Autoimmune hemolytic anemia, MS Multiple Sclerosis