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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Antiphospholipid Syndrome

Respected Doctor kindly clarify my doubts as follows:
1.My niece underwent miscarriage of her first child in the second trimester period. (end of six month). Now the Doctor referred blood test and the report is a shock for me; My niece conveyed the information as 'Antiphospholipid syndrome' ; She is under full stress and decides to not to plan for a child in future life. KINDLY TELL ME THE SUITABLE OPTIONS.
2. Is it a life long medical issue? will it affect the future child after medications?
3. I feel apart from her current gynecologist do we need to refer Haematologist too. WE ARE NOT READY TO FACE OTHER CRISIS.
WITH WARM REGARDS
Gowri
Wed, 23 Jul 2014
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Psychiatrist 's  Response
HI THANKS FOR POSTING YOUR QUERY ON HEALTHY CARE MAGIC.
GOING BY YOUR CLINICAL HISTORY I WOULD LIKE TO TELL YOU THAT ,ANTIPHOSPHOLIPID ANTIBODY SYNDROME-APLAS IS AN ACQUIRED CAUSE OF BLOOD COAGULATION.IT USUALLY ARISES IN THE BACKGROUND OF AUTOIMMUNE DISEASES.NO KNOWN CAUSE HAS BEEN FOUND FOR IT.THE CONDITION IS ASSOCIATED WITH LIFE THREATENING THROMBOSES/BLOOD CLOTTING IN BOTH ARTERIES AND VEINS CAUSING HEART ATTACKS,STROKE,PULMONARY EMBOLI,DEEP VEIN THROMBOSES.IT ALSO CAUSES RECURRENT SPONTANEOUS ABORTIONS.FUTURE CHILDREN CAN ALSO BE EFFECTED.THIS CONDITION SHOULD BE TREATED ONLY WHEN THE AUTO ANTIBODIES IN THE BLOOD ARE ASSOCIATED WITH SYMPTOMS.THE TREATMENT SHOULD BE OFFERED LIFELONG. IT INCLUDES DRUGS LIKE HEPARIN,IMMUNOGLOBULINS,PREDNISOLONE,PLASMAPHERISIS,HEMODIALYSIS ETC TO REMOVE THE ANTIGEN-ANTIBODY COMPLEXES.APART FROM GYNECOLOGIST YOU NEED TO CONSULT A VSCULAR SURGEON AND INTERNAL MEDICINE SPECIALIST.GOOD OBSTETRIC OUTCOMES CAN BE EXPECTED WITH SUITABLE AND TIMELY MANAGEMENT.
THANK YOU.
TAKE CARE.



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Suggest Treatment For Antiphospholipid Syndrome

HI THANKS FOR POSTING YOUR QUERY ON HEALTHY CARE MAGIC. GOING BY YOUR CLINICAL HISTORY I WOULD LIKE TO TELL YOU THAT ,ANTIPHOSPHOLIPID ANTIBODY SYNDROME-APLAS IS AN ACQUIRED CAUSE OF BLOOD COAGULATION.IT USUALLY ARISES IN THE BACKGROUND OF AUTOIMMUNE DISEASES.NO KNOWN CAUSE HAS BEEN FOUND FOR IT.THE CONDITION IS ASSOCIATED WITH LIFE THREATENING THROMBOSES/BLOOD CLOTTING IN BOTH ARTERIES AND VEINS CAUSING HEART ATTACKS,STROKE,PULMONARY EMBOLI,DEEP VEIN THROMBOSES.IT ALSO CAUSES RECURRENT SPONTANEOUS ABORTIONS.FUTURE CHILDREN CAN ALSO BE EFFECTED.THIS CONDITION SHOULD BE TREATED ONLY WHEN THE AUTO ANTIBODIES IN THE BLOOD ARE ASSOCIATED WITH SYMPTOMS.THE TREATMENT SHOULD BE OFFERED LIFELONG. IT INCLUDES DRUGS LIKE HEPARIN,IMMUNOGLOBULINS,PREDNISOLONE,PLASMAPHERISIS,HEMODIALYSIS ETC TO REMOVE THE ANTIGEN-ANTIBODY COMPLEXES.APART FROM GYNECOLOGIST YOU NEED TO CONSULT A VSCULAR SURGEON AND INTERNAL MEDICINE SPECIALIST.GOOD OBSTETRIC OUTCOMES CAN BE EXPECTED WITH SUITABLE AND TIMELY MANAGEMENT. THANK YOU. TAKE CARE.