Research Topics
| Richard CerveraSummaryCountry: Spain Publications
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Publications
Lessons from the "Euro-Lupus Cohort"Ricard Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Ann Med Interne (Paris) 153:530-6. 2002..The "Euro-Lupus Cohort" provides an updated information on the SLE morbidity and mortality characteristics in the present decade as well as defines several clinical and immunological prognostic factors...
Systemic lupus erythematosus in Europe at the change of the millennium: lessons from the "Euro-Lupus Project"Ricard Cervera
Department of Autoimmune Diseases, Servei de Malalties Autoimmunes, Hospital Clinic, Villarroel 170, 08036 Barcelona, Catalonia, Spain
Autoimmun Rev 5:180-6. 2006..The "Euro-Lupus Cohort" provides an updated information on the SLE morbidity and mortality characteristics in the present decade as well as defines several clinical and immunological prognostic factors...
European Working Party on Systemic Lupus Erythematosus: a 15-year reportRicard Cervera
Department of Autoimmune Diseases, Institut Clínic de Medicina i Dermatologia ICMiD, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, Barcelona, Catalonia, Spain
Autoimmun Rev 5:549-53. 2006..Nowadays, more than 50 European centres are collaborating in this venture, 9 large multicentre studies are ongoing and 10 workshops have been organized...
European Forum On Antiphospholipid Antibodies: brief history report and governance documentR Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Lupus 21:699-703. 2012..In this way, the wide exchange of information could also favour the introduction and evaluation of new tests...
CAPS RegistryR Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Lupus 21:755-7. 2012..The analysis of this registry has allowed the characterization of the clinical and laboratory features of the catastrophic APS as well as the establishment of preliminary criteria for its classification and guidelines for its management...
Update on the catastrophic antiphospholipid syndrome and the "CAPS Registry"Ricard Cervera
Department of Autoimmune Diseases, Hospital Clinic, Villaroel 170, Barcelona, Catalonia, Spain
Semin Thromb Hemost 38:333-8. 2012..med.ub.es/MIMMUN/FORUM/CAPS.HTM). Currently, this database documents the entire clinical, laboratory, and therapeutic data of more than 350 fully registered patients...
Antiphospholipid syndromeGerard Espinosa
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, Barcelona, Catalonia, Spain
Arthritis Res Ther 10:230. 2008..The knowledge of these new pathogenic approaches might identify novel therapeutic targets and therefore may improve the management of these patients...
Intestinal involvement secondary to the antiphospholipid syndrome (APS): clinical and immunologic characteristics of 97 patients: comparison of classic and catastrophic APSRicard Cervera
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer, Barcelona, Catalonia, Spain
Semin Arthritis Rheum 36:287-96. 2007..To analyze the clinical and laboratory characteristics of 97 patients with intestinal involvement secondary to the antiphospholipid syndrome (APS) (37 patients with classic APS and 60 with catastrophic APS)...
Antiphospholipid syndrome associated with infections: clinical and microbiological characteristics of 100 patientsR Cervera
Servei de Malalties Autoimmunes, Hospital Clinic, Villarroel 170, 08036 Barcelona, Catalonia, Spain
Ann Rheum Dis 63:1312-7. 2004..To describe and analyse the clinical characteristics of 100 patients with antiphospholipid syndrome (APS) associated with infections...
Dementia associated with the antiphospholipid syndrome: clinical and radiological characteristics of 30 patientsJ A Gomez-Puerta
Servei de Malalties Autoimmunes, Hospital Clinic, Villarroel, 170, 08036 Barcelona, Catalonia, Spain
Rheumatology (Oxford) 44:95-9. 2005..To analyse the clinical and radiological characteristics of patients with dementia associated with the antiphospholipid syndrome (APS)...
The management of pregnant patients with antiphospholipid syndromeR Cervera
Department of Autoimmune Diseases, Hospital Clinic Institut d Investigacions Biomediques August Pi i Sunyer, Barcelona, Catalonia, Spain
Lupus 13:683-7. 2004..Interventions with these drug therapies and monitored pregnancy have increased fetal survival...
Coronary and valvular syndromes and antiphospholipid antibodiesRicard Cervera
Department of Autoimmune Diseases, Hospital Clinic, Villarroel, 170, 08036 Barcelona, Catalonia, Spain
Thromb Res 114:501-7. 2004..In this review article, the focus will be on the main cardiac features related to the presence of antiphospholipid antibodies (aPLs), which may be of interest to clinicians...
Validation of the preliminary criteria for the classification of catastrophic antiphospholipid syndromeR Cervera
Servei de Malalties Autoimmunes, Hospital Clinic, Villarroel 170, 08036 Barcelona, Catalonia, Spain
Ann Rheum Dis 64:1205-9. 2005....
Lessons from the "Euro-Phospholipid" projectRicard Cervera
Department of Autoimmune Diseases, Institut Clínic of Medicine and Dermatology, Hospital Clinic, Barcelona, Catalonia, Spain
Autoimmun Rev 7:174-8. 2008....
Morbidity and mortality in the antiphospholipid syndrome during a 5-year period: a multicentre prospective study of 1000 patientsR Cervera
Servei de Malalties Autoimmunes, Hospital Clinic, Villarroel 170, 08036 Barcelona, Catalonia, Spain
Ann Rheum Dis 68:1428-32. 2009..To identify the main causes of morbidity and mortality in patients with antiphospholipid syndrome (APS) during a 5-year period and to determine clinical and immunological parameters with prognostic significance...
Bidirectional effects on autoimmunity and reproductionRicard Cervera
Department of Autoimmune Diseases, Institut Clínic of Medicine and Dermatology, Faculty of Medicine, University of Barcelona, Hospital Clínic Institut d Investigacions Biomèdiques August Pi i Sunyer IDIBAPS, Catalonia, Spain
Hum Reprod Update 14:359-66. 2008..This review addresses the impact of abnormal autoimmunity on female fertility, premature ovarian failure (POF) and recurrent pregnancy loss, as well as the influence of pregnancy in systemic lupus erythematosus (SLE)...
Catastrophic antiphospholipid syndromeRichard Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Pathophysiol Haemost Thromb 35:181-6. 2006..The combination of high doses of intravenous (iv) heparin, iv steroids, iv gamma globulins and/or repeated plasma exchanges is the basic treatment of choice for all patients with this severe condition...
Catastrophic antiphospholipid syndromeRicard Cervera
Department of Autoimmune Diseases, Hospital Clinic, Villarroel 170, 08036 Barcelona, Catalonia, Spain
Rheum Dis Clin North Am 32:575-90. 2006..Additionally, preventive measures in patients with APS may be effective if the development of the catastrophic APS is to be avoided...
Catastrophic antiphospholipid syndrome: lessons from the "CAPS Registry"--a tribute to the late Josep FontRicard Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Ann N Y Acad Sci 1108:448-56. 2007..This registry can be freely consulted at the Internet (www.med.ub.es/MIMMUN/FORUM/CAPS.HTM) and it is expected that the periodical analysis of these data will allow us to increase our knowledge of this condition...
Lessons from the catastrophic antiphospholipid syndrome (CAPS) registryRicard Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Autoimmun Rev 6:81-4. 2006..This registry can be freely consulted at the Internet (www.med.ub.es/MIMMUN/FORUM/CAPS.HTM) and it is expected that the periodical analysis of these data will allow us to increase our knowledge of this condition...
Update on the diagnosis, treatment, and prognosis of the catastrophic antiphospholipid syndromeRicard Cervera
Department of Autoimmune Diseases, Servei de Malalties Autoimmunes, Hospital Clinic, Villarroel 170, Barcelona, Catalonia, 08036, Spain
Curr Rheumatol Rep 12:70-6. 2010..However, once patients with catastrophic APS have recovered, they usually follow a stable course with continued anticoagulation and few patients present with a relapse of the catastrophic episode...
V meeting of the European forum on antiphospholipid antibodiesRicard Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Autoimmun Rev 5:499-507. 2006..This report summarizes the main studies and new research projects presented during this Forum Meeting...
Catastrophic antiphospholipid syndrome: therapeutic developmentsRicard Cervera
Head, Servei de Malalties Autoimmunes, , Villarroel 170, 08036 Barcelona, Catalonia, Spain
Expert Rev Clin Immunol 3:277-85. 2007..The combination of high doses of intravenous heparin, steroids, gamma-globulins and/or repeated plasma exchanges are the basic treatment of choice for all patients with this severe condition...
Pregnancy outcome in systemic lupus erythematosus: good news for the new millenniumRicard Cervera
Department of Autoimmune Diseases, Institut Clínic of Infections and Immunology, Hospital Clinic, Villarroel 170, 08036 Barcelona, Catalonia, Spain
Autoimmun Rev 1:354-9. 2002....
Task Force on Catastrophic Antiphospholipid Syndrome (APS) and Non-criteria APS Manifestations (I): catastrophic APS, APS nephropathy and heart valve lesionsR Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Lupus 20:165-73. 2011..This article summarizes the studies analysed on the catastrophic APS, APS nephropathy and heart valve lesions, and presents the recommendations elaborated by the Task Force after this analysis...
Task Force on Catastrophic Antiphospholipid Syndrome (APS) and Non-criteria APS Manifestations (II): thrombocytopenia and skin manifestationsR Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Lupus 20:174-81. 2011..This article summarizes the studies analyzed on thrombocytopenia and skin manifestations, and presents the recommendations elaborated by the Task Force after this analysis...
Antiphospholipid syndrome: clinical and immunologic manifestations and patterns of disease expression in a cohort of 1,000 patientsRicard Cervera
Institut Clínic d Infeccions i Immunologia ICII, Hospital Clinic, and Institut d Investigacions Biomè diques August Pi i Sunyer IDIBAPS, Barcelona, Catalonia, Spain
Arthritis Rheum 46:1019-27. 2002..To analyze the clinical and immunologic manifestations of antiphospholipid syndrome (APS) in a large cohort of patients and to define patterns of disease expression...
Catastrophic antiphospholipid syndrome (CAPS): update from the 'CAPS Registry'R Cervera
Department of Autoimmune Diseases, Hospital Clinic, Catalonia, Spain
Lupus 19:412-8. 2010..med.ub.es/MIMMUN/FORUM/CAPS.HTM). Currently, it documents the entire clinical, laboratory and therapeutic data of more than 300 patients whose data has been fully registered...
Autoimmunity and recurrent pregnancy lossesRicard Cervera
Department of Autoimmune Diseases, Institut Clínic of Medicine and Dermatology, Faculty of Medicine University of Barcelona, Hospital Clínic Institut d Investigacions Biomèdiques August Pi i Sunyer IDIBAPS, Barcelona, Catalonia, Spain
Clin Rev Allergy Immunol 39:148-52. 2010..Well-designed diagnostic studies are needed to estimate the true association between other specific autoantibodies and recurrent miscarriage...
The Euro-Phospholipid project: epidemiology of the antiphospholipid syndrome in EuropeR Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Lupus 18:889-93. 2009..Childhood onset patients presented more episodes of chorea and jugular vein thrombosis, whereas older onset patients were more frequently male and had more strokes and angina pectoris, but less frequently livedo reticularis...
The Euro-lupus project: epidemiology of systemic lupus erythematosus in EuropeR Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Lupus 18:869-74. 2009....
Catastrophic antiphospholipid syndrome (CAPS): descriptive analysis of a series of 280 patients from the "CAPS Registry"Ricard Cervera
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, Barcelona, Catalonia, Spain
J Autoimmun 32:240-5. 2009..To describe the clinical and laboratory features, as well as the precipitating factors, treatment and outcome of patients with catastrophic antiphospholipid syndrome (APS)...
Anti-chromatin antibodies in systemic lupus erythematosus: a useful marker for lupus nephropathyR Cervera
Department of Autoimmune Diseases, Institut Clinic d Infeccions i Immunologia, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer, Barcelona, Catalonia, Spain
Ann Rheum Dis 62:431-4. 2003..Anti-chromatin antibodies have recently been described in patients with systemic lupus erythematosus (SLE) and it has been suggested that their presence is associated with lupus nephritis...
Morbidity and mortality in the catastrophic antiphospholipid syndrome: pathophysiology, causes of death, and prognostic factorsGerard Espinosa
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, Barcelona, Catalonia, Spain
Semin Thromb Hemost 34:290-4. 2008..The only identified prognostic factor for a higher mortality rate is the presence of systemic lupus erythematosus...
Adrenal involvement in the antiphospholipid syndrome: clinical and immunologic characteristics of 86 patientsGerard Espinosa
Department of Autoimmune Diseases, , , , Barcelona, Catalonia, Spain
Medicine (Baltimore) 82:106-18. 2003..An initial screening for hypoadrenalism is mandatory in any antiphospholipid antibody-positive patient who complains of abdominal pain and undue weakness or asthenia...
Catastrophic antiphospholipid (Asherson's) syndromeRicard Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Br J Hosp Med (Lond) 69:384-7. 2008..Knowledge of its treatment is vital as the outcome can be lethal...
Catastrophic antiphospholipid syndrome during pregnancy and puerperium: maternal and fetal characteristics of 15 casesJosé A Gómez Puerta
Servei de Malalties Autoimmunes, Hospital Clinic, Villarroel 170, 08036 Barcelona, Catalonia, Spain
Ann Rheum Dis 66:740-6. 2007..The catastrophic variant of the antiphospholipid syndrome (APS) is a life-threatening form of presentation of this syndrome that can be triggered by several factors...
Antiphospholipid syndrome associated with infections: clinical and microbiological characteristicsRicard Cervera
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, Villaroel, 170, 08036 Barcelona, Catalonia, Spain
Immunobiology 210:735-41. 2005..Since then, many infections have been found to be associated with aPL positivity, although a pathogenic role for these antibodies was not usually obvious except in a few isolated cases...
Proliferative lupus nephritis in a patient with systemic lupus erythematosus and longstanding secondary amyloid nephropathyJosé A Gómez-Puerta
Department of Rheumatology, Hospital Clinic, Barcelona, Spain
Clin Rheumatol 28:95-7. 2009..The patient was treated with mycophenolate mofetil (1.5 g/day) with a significant improvement in proteinuria...
Transverse myelitis affecting more than 4 spinal segments associated with systemic lupus erythematosus: clinical, immunological, and radiological characteristics of 22 patientsGerard Espinosa
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, Barcelona, Catalonia, Spain
Semin Arthritis Rheum 39:246-56. 2010..To analyze the clinical and laboratory characteristics and outcomes of patients with transverse myelitis affecting more than 4 spinal segments secondary to systemic lupus erythematosus (SLE)...
Catastrophic antiphospholipid syndrome: treatment, prognosis, and the risk of relapseSilvia Bucciarelli
Department of Autoimmune Diseases, Hospital Clinic, Catalonia, Spain
Clin Rev Allergy Immunol 36:80-4. 2009..A detailed description of the clinical and laboratory features of the syndrome can be found in the other articles of this issue...
Thromboprophylaxis and obstetric management of the antiphospholipid syndromeGerard Espinosa
Hospital Clinic, Institut Clinic de Medicina i Dermatologia, Department of Autoimmune Diseases, Barcelona, Catalonia, Spain
Expert Opin Pharmacother 10:601-14. 2009....
Sarcoidosis in patients with chronic hepatitis C virus infection: analysis of 68 casesManuel Ramos-Casals
Department of Autoimmune Diseases, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, School of Medicine, University of Barcelona, Barcelona, Spain
Medicine (Baltimore) 84:69-80. 2005..Clinicians should be aware of the possibility that sarcoidosis may initially manifest or be reactivated during or shortly after treatment with antiviral therapy in patients with chronic HCV infection...
Severe valvular regurgitation and antiphospholipid antibodies in systemic lupus erythematosus: a prospective, long-term, followup studyFelix Perez-Villa
Hospital Clinic, IDIBAPS, Barcelona, Spain
Arthritis Rheum 53:460-7. 2005....
Clusters of clinical and immunologic features in systemic lupus erythematosus: analysis of 600 patients from a single centerJosep Font
Department of Autoimmune Diseases, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer, School of Medicine, University of Barcelona, Spain
Semin Arthritis Rheum 33:217-30. 2004....
Th1/Th2 cytokine imbalance in patients with Sjögren syndrome secondary to hepatitis C virus infectionManuel Ramos-Casals
Department of Autoimmune Diseases, Institut d Investigacions Biomediques August Pi i Sunyer, Hospital Clinic, School of Medicine, University of Barcelona, Barcelona, Catalonia, Spain
Semin Arthritis Rheum 32:56-63. 2002..To investigate if the serum immunologic profile, as delineated by serum circulating levels of Th1/Th2 cytokines and autoantibodies, is different in patients with Sjögren syndrome (SS) with and without hepatitis C virus (HCV) infection...
Primary Sjögren syndrome: hematologic patterns of disease expressionManuel Ramos-Casals
Department of Autoimmune Diseases, Clinical Institute of Infections and Immunology, Barcelona, Spain
Medicine (Baltimore) 81:281-92. 2002
Viral etiopathogenesis of Sjögren's syndrome: role of the hepatitis C virusManuel Ramos-Casals
Department of Autoimmune Diseases, C Villaroel 170, Hospital Clinic, Institut Clinic d Infeccions i Immunologia, 08036 Barcelona, Catalonia, Spain
Autoimmun Rev 1:238-43. 2002..Thus, HCV patients with sicca symptomatology and positive autoantibodies could be misdiagnosed as a 'primary' SS. Nevertheless, there are several clinical and immunologic features that could help us differentiate both processes...
Recent trends in the management of antiphospholipid syndrome (Hughes syndrome)Gerard Espinosa
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, Barcelona, Spain
Drugs Today (Barc) 46:39-47. 2010..However, the knowledge of new pathogenic mechanisms might identify novel therapeutic targets and, therefore, may improve the management of these patients...
Pure sensory neuropathy in primary Sjögren's syndrome. Longterm prospective followup and review of the literatureJosep Font
Department of Autoimmune Diseases, Hospital Clinic, Institut d Investigacions Biomediques August Pi i Sunyer, University of Barcelona, Barcelona, Spain
J Rheumatol 30:1552-7. 2003..To study the clinical course, response to therapy, and longterm outcome of pure sensory neuropathy (PSN) in a series of patients with primary Sjögren's syndrome (SS) followed prospectively in our referral centers...
Triple association between hepatitis C virus infection, systemic autoimmune diseases, and B cell lymphomaManuel Ramos-Casals
Departments of Autoimmune Diseases and Hematology, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, Hospital Clinic, University of Barcelona, Barcelona, Spain
J Rheumatol 31:495-9. 2004..To analyze the clinical characteristics of patients from a Department of Autoimmune Diseases presenting chronic hepatitis C virus (HCV) infection, systemic autoimmune disease, and B cell lymphoma...
Clinical features related to antiphospholipid syndrome in patients with chronic viral infections (hepatitis C virus/HIV infection): description of 82 casesManuel Ramos-Casals
Department of Autoimmune Diseases, Institut d Investigacions Biomediques August Pi i Sunyer, Hospital Clinic, School of Medicine, University of Barcelona, Spain
Clin Infect Dis 38:1009-16. 2004..These viruses might act in some patients as chronic triggering agents that induce a heterogeneous, atypical presentation of APS...
Antiphospholipid antibodies may impair factor XIIa-dependent activation of fibrinolysis in pregnancy: in vitro evidence with human endothelial cells in culture and monoclonal anticardiolipin antibodiesIsabel Lázaro
Faculty of Medicine, Institut Clínic of Ginecology, Obstetrics and Neonatology, University of Barcelona, Barcelona, Spain
Am J Obstet Gynecol 201:87.e1-6. 2009..The purpose of this study was to analyze the in vitro activation of the contact complex with the use of human umbilical vein endothelial cells (HUVEC) in culture and monoclonal anticardiolipin antibodies (MaCL)...
True anti-anionic phospholipid immunoglobulin M antibodies can exert lupus anticoagulant activityTeresa Gallart
Service of Immunology, Hospital Clinic Universitari, Institut d Investigacions Biomediques August Pi i Sunyer IDIBAPS, Barcelona University School of Medicine, Barcelona, Spain
Br J Haematol 116:875-86. 2002..These findings demonstrate unequivocally that true anti-anionic PL IgM antibodies can exert LA and indicate this anti-PL type does not involve thrombophilia...
Mortality in the catastrophic antiphospholipid syndrome: causes of death and prognostic factorsSilvia Bucciarelli
Department of Autoimmune Diseases, , , Barcelona, Catalonia, Spain
Autoimmun Rev 6:72-5. 2006..According to the results of this analysis, anticoagulation plus steroids plus plasma exchange should be the first line of therapy in patients with catastrophic APS...
Thrombin activatable fibrinolysis inhibitor and clot lysis time in pregnant patients with antiphospholipid syndrome: relationship with pregnancy outcome and thrombosisMaria Angeles Martinez-Zamora
Institut Clinic of Gynecology, Obstetrics and Neonatology, Hospital Clínic Institut d Investigacions Biomèdiques August Pi i Sunyer IDIBAPS, Villarroel, 170 08036 Barcelona, Spain
Am J Reprod Immunol 62:381-9. 2009..This study evaluated Thrombin Activatable Fibrinolysis Inhibitor (TAFI) levels, TAFI gene polymorphisms and Clot Lysis Time (CLT) in pregnant patients with APS in relation to pregnancy outcome and thrombosis...
Mortality in the catastrophic antiphospholipid syndrome: causes of death and prognostic factors in a series of 250 patientsSilvia Bucciarelli
, , Barcelona, Catalonia, Spain
Arthritis Rheum 54:2568-76. 2006..The presence of SLE was related to a higher mortality rate. According to the results of the present study, ACs plus CS plus PE should be the first line of therapy in patients with CAPS...
Vasculitis in systemic lupus erythematosus: prevalence and clinical characteristics in 670 patientsManuel Ramos-Casals
Department of Autoimmune Diseases, , Barcelona, , School of Medicine, University of Barcelona, Barcelona, Spain
Medicine (Baltimore) 85:95-104. 2006..The presence of vasculitis in our patients with SLE was associated with a higher ECLAM score, livedo reticularis, hematologic parameters (anemia, high ESR), and anti-La/SS-B antibodies...
Class III-IV proliferative lupus nephritis and pregnancy: a study of 42 casesFrancisco Carmona
, Obstetrics, and Neonatology, Barcelona, Spain
Am J Reprod Immunol 53:182-8. 2005..05). CONCLUSION: Lupus nephritis class III-IV is a risk factor for hypertensive disease during pregnancy, but it does not contraindicate gestation...
Morbidity and mortality in the antiphospholipid syndromeGerard Espinosa
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, Barcelona, Catalonia, Spain
Curr Opin Pulm Med 15:413-7. 2009..There is a growing awareness to determine optimal prognostic markers and therapeutic measures to prevent these important complications in the APS...
Hematologic malignancies in patients with cryoglobulinemia: association with autoimmune and chronic viral diseasesOlga Trejo
Department of Autoimmune Diseases, , , School of Medicine, University of Barcelona, Barcelona, Spain
Semin Arthritis Rheum 33:19-28. 2003....
Laboratory studies on pathophysiology of the catastrophic antiphospholipid syndromeGerard Espinosa
Department of Autoimmune Diseases, , Barcelona, Catalonia, Spain
Autoimmun Rev 6:68-71. 2006....
Antiphospholipid syndrome: pathogenic mechanismsGerard Espinosa
Department of Autoimmune Diseases, , , Villarroel 170, 08036 Barcelona, Catalonia, Spain
Autoimmun Rev 2:86-93. 2003..Second, aPL may stimulate certain cells thereby altering the expression and secretion of various molecules. In this article, we review the mechanisms by which aPL may develop thrombotic events...
Clinical and epidemiological aspects in the antiphospholipid syndromeRicard Cervera
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Immunobiology 207:5-11. 2003..Systemic lupus erythematosus (SLE) is the disorder in which an APS is most commonly associated. Less frequently, aPL and, rarely, an APS may also be encountered in other groups of patients (Table 1) (1)...
Antiphospholipid syndrome: frequency, main causes and risk factors of mortalityGerard Espinosa
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, Villarroel, Barcelona, Catalonia, Spain
Nat Rev Rheumatol 6:296-300. 2010..The combined use of anticoagulation, corticosteroids, plasma exchange and intravenous immunoglobulin therapy could result in a dramatic reduction in mortality, by approximately 20%, in patients with catastrophic APS...
Raynaud's phenomenon in primary Sjögren's syndrome. Prevalence and clinical characteristics in a series of 320 patientsMario Garcia-Carrasco
Department of Systemic Autoimmune Diseases, Hospital Clinic, Barcelona, Spain
J Rheumatol 29:726-30. 2002..To determine the prevalence of Raynaud's phenomenon (RP) in a large series of patients with primary Sjögren's syndrome (SS) and to identify the clinical and immunological features related to its presence...
Catastrophic antiphospholipid syndromeRonald A Asherson
Department of Autoimmune Diseases, Institut Clinic d'Infeccions i Immunologia, Hospital Clinic, Villarroel 170, 08036 Barcelona, Catalonia, Spain
Curr Rheumatol Rep 5:395-400. 2003..Regrettably, despite all available therapeutic options at this time, the mortality is still high (greater than 50%)...
Pregnancy and puerperium are high susceptibility periods for the development of catastrophic antiphospholipid syndromeJosé A Gómez-Puerta
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, Barcelona, Catalonia, Spain
Autoimmun Rev 6:85-8. 2006..In around 6% of the cases, the catastrophic APS can appear during pregnancy or puerperium. We review this specific subset of the catastrophic APS and propose a therapeutical approach for this particular situation...
Behçet's disease in an HIV-1-infected patient treated with highly active antiretroviral therapyJosé A Gómez-Puerta
Department of Autoimmune Diseases, Institut Clinic de Medicina i Dermatologia, Hospital Clinic, University of Barcelona, Spain
Isr Med Assoc J 8:513-4. 2006
Anti-chromatin (anti-nucleosome) antibodies: diagnostic and clinical valueJosé A Gómez-Puerta
Department of Autoimmune Diseases, Hospital Clinic, Barcelona, Catalonia, Spain
Autoimmun Rev 7:606-11. 2008..Recent studies demonstrated the induction of anti-chromatin (anti-nucleosome) antibodies after an anti-tumour necrosis factor (TNF)-alpha agent treatment...
Impaired factor XIIa-dependent activation of fibrinolysis in treated antiphospholipid syndrome gestations developing late-pregnancy complicationsFrancisco Carmona
, Obstetrics, and Neonatology, Barcelona, Spain
Am J Obstet Gynecol 194:457-65. 2006..CONCLUSIONS: Impaired factor XIIa-dependent activation of fibrinolysis seems to be a key mechanism related to late-pregnancy complications in patients with the antiphospholipid syndrome...
[Sarcoidosis as seronegative spondyloarthropathy]José A Gómez-Puerta
Servicio de Reumatologia, Hospital Clinic, Barcelona, Espana
Biomedica 25:435-8. 2005..These clinical forms of spondyloarthropathy and sarcoidosis were unusual and were compared with similar cases present in the literature...
Preclinical vascular disease in systemic lupus erythematosus and primary antiphospholipid syndromeSonia Jimenez
Servicio de Enfermedades Autoinmunes, ICMiD, Hospital Clinic, C Villaroel 170, 08036 Barcelona, Spain
Rheumatology (Oxford) 44:756-61. 2005..To determine the prevalence of preclinical vascular disease and associated risk factors in patients with systemic lupus erythematosus (SLE) or primary antiphospholipid syndrome (APS)...
The epidemiology of systemic lupus erythematosusSonia Jimenez
Department of Autoimmune Diseases, Institut Clinic d Infeccions i Immunologia, Hospital Clinic, Barcelona, Catalonia, Spain
Clin Rev Allergy Immunol 25:3-12. 2003..An important amount of information comes from the data obtained from the "Euro-Lupus Cohort," a series of 1000 patients with SLE from several European countries that have been followed prospectively since 1991...
Morbidity and mortality in systemic lupus erythematosus during a 10-year period: a comparison of early and late manifestations in a cohort of 1,000 patientsRicard Cervera
Department of Autoimmune Diseases, Institut Clinic d Infeccions i Immunologia, IDIBAPS Institut d Investigacions Biomèdiques August Pi i Sunyer, Hospital Clinic, University of Barcelona, Barcelona, Catalonia, Spain
Medicine (Baltimore) 82:299-308. 2003..Meanwhile, a more prominent role of thrombotic events is becoming evident, affecting both morbidity and mortality in SLE...
Factor XIII-A subunit Val34Leu polymorphism is associated with the risk of thrombosis in patients with antiphospholipid antibodies and high fibrinogen levelsGloria de la Red
Department of Hemotherapy and Hemostasis, Hospital Clinic, Villarroel 170, 08036 Barcelona, Catalonia, Spain
Thromb Haemost 101:312-6. 2009..20, 95% CI 0.67-2.16). The FXIII-A Leu34 allele seems to have a protective effect on the development of thrombosis in patients with aPL, but only in those with high plasma fibrinogen values...
