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Re: Is it possible +/- APA antibodiesFrom: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)Fri, 23 Oct 1998 10:11:43 -0500 (CDT)
At Fri, 23 Oct 1998, anonymous@obgyn.net wrote: > >Here is a brief history, I have endo and have suffered a m/c at 8wks, >preterm labor, resulting in PROM and the delivery of my son at 22.6wks >(died shortly after birth) and now m/c at 10wks last week. > >When I found out I was pg, I asked to have my antibodies tested - it >revealed I had antiphosphiolipid antibodies, the result was a 16 (I was >told anything over a 10 is positive). I was placed on 1 (81mg) aspirin >a day. At 7.2wks, u/s revealed normal growing fetus with heartbeat. At >10wks, u/s revealed no hearttones, and low amniotic fluid. Fetus >measured 8.3wks. The dr ran APA test again, and it revealed level 6 >(meaning negative). How can the test be positive when I'm pg and then - >after fetus dies? Is this an indication of something. What other >testing should I request?
Results may vary from day to day and some people are borderline.
Together with the APA (or ACA - anticardiolipin antibody) should be done
a lupus anticoagulant (LAC)
>Is it possible that I didn't start the aspirin in enough time for it to Possible. Also, heparin 5000IU subcutaneously twice a day has been usede in some people together with the low dose adult aspirin.
>Your opinion would be greatly appreciated. Good luck.
-- Harvey S. Marchbein, M.D. FACOG, FACS Great Neck, New York http://www.obgyn.net/states/bios/marchbein.htm http://www.obgyn.net/women/advisors/harveym.htm
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