Truly elegant clinical science defines syndromes with precision,delineates pathogenic mechanisms, and compares treatments inprospective randomized trials. Conventional clinical sciencelacks precision and applies empirical remedies. According tothese definitions, the clinical science focused on the antiphospholipid-antibodysyndrome is conventional now, but on the verge of becoming elegant.
The diagnosis of the antiphospholipid-antibody syndrome1 requiresthat a patient have recurrent clinical events (such as thrombosesor fetal loss) and an antiphospholipid antibody (such as anticardiolipinantibody or lupus anticoagulant). The syndrome is "primary"if there is no accompanying autoimmune disease and "secondary"if the patient also has systemic lupus . . . [Full Text of this Article]
References
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