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Correspondence
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Volume 337:1630-1631 November 27, 1997 Number 22
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Antiphospholipid Antibodies, Annexin V, and Pregnancy Loss

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 by Rand, J. H.
To the Editor: Although the antiphospholipid-antibody syndrome is defined clinically as thrombosis, thrombocytopenia, or pregnancy loss, with the presence of a positive test for antiphospholipid antibodies, the incidence of pregnancy disorders greatly exceeds the incidence of the other symptoms. Rand et al. (July 17 issue)1 report that in their study, IgG fractions containing antiphospholipid antibodies prevented the formation of annexin V complexes on the surfaces of choriocarcinoma (BeWo) cells and primary trophoblast cells and increased the activation of coagulation by these cells. This mechanism may lead to thrombosis at the maternal–fetal interface, with damage to the placenta.

A common problem . . . [Full Text of this Article]

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