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The efficacy of hydroxychloroquine for obstetrical outcome in anti-phospholipid syndrome: Data from a European multicenter retrospective study
Abstract
In European multicenter study, we aimed to describe the real-life hydroxychloroquine use in APS patients during pregnancy and determine its benefit in refractory obstetrical APS. We analyzed the outcome of pregnancies treated by hydroxychloroquine in patients with APS or asymptomatic antiphospholipid (aPL) antibodies carriers. Thirty patients with APS with 35 pregnancies treated by hydroxychloroquine were analyzed. Comparing the outcome of pregnancies treated by the addition of hydroxychloroquine to previous pregnancies under the conventional treatment, pregnancy losses decreased from 81% to 19% (p<0.05), without differences in the associated treatments. The univariate analysis showed that the previous intrauterine deaths and higher hydroxychloroquine amount (400mg per day) were the factors associated with pregnancy outcome. Considering 14 patients with previous refractory obstetrical APS (n=5 with obstetrical and thrombotic primary APS and n=9 with purely obstetrical APS), all with previous pregnancy losses under treatment (aspirin with LMWH in 11 cases and LMWH in 3 cases), the addition of hydroxychloroquine resulted in live born babies in 11/14 (78%) cases (p<0.05). Our study shows the benefit of hydroxychloroquine addition in patients with refractory obstetrical APS and raises the need of prospective studies to confirm our preliminary study.
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“Evidence directly supporting these treatment options is based on two small observational studies with limited representativeness.56 57”
From EULAR recommendations for the management of antiphospholipid syndrome in adults (2019) · cites this paper as [56]
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Metadata
- Authors
- Mekinian, A., Lazzaroni, M. G., Kuzenko, A., Alijotas-Reig, J., Ruffatti, A., Levy, P., Canti, V., Bremme, K., Bezanahary, H., Bertero, T., Dhote, R., Maurier, F., Andreoli, L., Benbara, A., Tigazin, A., Carbillon, L., Nicaise-Roland, P., Tincani, A., & Fain, O.
- Affiliations
- Assistance Publique – Hôpitaux de Paris (FR)
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT)
- A. O. Ordine Mauriziano di Torino (IT)
- University of Padua (IT)
- IRCCS Ospedale San Raffaele (IT)
- Karolinska Institutet (SE)
- Université Sorbonne Paris Nord (FR)
- ORCID
- Venue
- Autoimmunity Reviews
- Publisher
- Elsevier BV
- Published
- 2015-06
- Volume
- 14
- Issue
- 6
- Pages
- 498-502
- ISSN
- 1568-9972 (ISSN-L)
- OpenAlex
- W1966792319
- Cited by
- 182
- References
- 22
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 13 · 2023: 8 · 2022: 16 · 2021: 14 · 2020: 23 · 2019: 21 · 2018: 24 · 2017: 14 · 2016: 20 · 2015: 11
- FWCI
- 19.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Autoimmunity Reviews (publishedVersion)
- PubMed (publishedVersion)
- Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Systemic Lupus Erythematosus Research
- Life Sciences › Immunology and Microbiology › Immunology › Reproductive System and Pregnancy
- Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy and preeclampsia studies
- Keywords
- hydroxychloroquine, antiphospholipid syndrome, pregnancy outcomes, miscarriage, antiphospholipid antibodies, low molecular weight heparin, aspirin, live birth, intrauterine fetal death
- MeSH terms
- Female, Humans, Hydroxychloroquine, Pregnancy, Pregnancy Outcome, Retrospective Studies, Multicenter Studies as Topic, Antiphospholipid Syndrome, Antibodies, Antiphospholipid
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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