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As anticipated, Ben Troyer’s August 31, 2014 question about STAT lupus anticoagulant testing drew a number of comments. George also discussed the question with local colleagues who brought up the rare possibility of catastrophic antiphospholipid syndrome (CAPS, Asherson Syndrome), see attached article for description. This may be an additional reason for ordering a STAT LA test, however we agreed it is not a reason for listing LA as a STAT procedure.

CAPS

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Vadim Kostousov
Sep 5, 2014 7:50am

I would like to add another link to a full text review about
I would like to add another link to a full text review about CAPS in order to draw readers’ attention towards the possibilities of false-positive or even false-negative aPL results as a diagnostic challenges in this syndrome:
Aguiar C, Erkan D. Catastrophic antiphospholipid syndrome: how to diagnose a rare but highly fatal disease. Ther Adv Musculoskelet Dis. 2013; 5: 305–14.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3836378/

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