Combined therapy with anticoagulation and glucocorticoids plus plasma exchange and/or intravenous immunoglobulins improves the survival rate of patients with catastrophic antiphospholipid syndrome (APS), according to data from an international registry. Triple therapy was associated with a higher chance of survival in comparison with treatment with other combinations of the drugs included in the triple therapy (adjusted OR 1.7, 95% CI 1.2–2.6) or treatment with none of those drugs (adjusted OR 9.7, 95% CI 2.3–40.6).
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Rodríguez-Pintó, I. et al. The effect of triple therapy on the mortality of catastrophic anti-phospholipid syndrome patients. Rheumatology. https://doi.org/10.1093/rheumatology/key082 (2018)
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Onuora, S. Triple therapy boosts survival in catastrophic APS. Nat Rev Rheumatol 14, 320 (2018). https://doi.org/10.1038/s41584-018-0017-5
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DOI: https://doi.org/10.1038/s41584-018-0017-5