Antiphospholipid Profile - APS complete
The Extended antiphospholipid profile (APS) is a comprehensive set of laboratory tests designed to detect autoantibodies and functional hemostatic abnormalities associated with antiphospholipid syndrome. It is used for the diagnosis of immune-mediated thrombophilias, assessment of thrombotic and obstetric risk, and monitoring of confirmed APS.
Indications
- suspicion of antiphospholipid syndrome (APS)
- venous and/or arterial thrombosis
- recurrent pregnancy loss or pregnancy complications
- unexplained infertility
- unexplained thrombophilia
- autoimmune diseases (including systemic lupus erythematosus)
- suspected immune-related coagulation disorders
- monitoring of confirmed APS
Profile components
- Lupus anticoagulant (confirmatory test) - functional coagulation test detecting antiphospholipid antibodies associated with increased thrombotic risk
- Anti-β2-glycoprotein I IgG antibodies - major serological marker of APS associated with thrombotic and obstetric complications
- Anti-β2-glycoprotein I IgM antibodies - marker of early or active immune response
- Anti-cardiolipin IgG antibodies - key diagnostic marker of APS associated with thrombosis and pregnancy complications
- Anti-cardiolipin IgM antibodies - marker of immune activity used in the comprehensive evaluation of APS
Procedure
Venous blood sampling is performed under standard laboratory conditions. For lupus anticoagulant testing, plasma-based coagulation assays are used.
Preparation:
- blood collection after fasting or a light 4–6 hour fasting period
- avoid intense physical activity for 24 hours before testing
- avoid testing during acute infections when possible
- anticoagulant therapy only under medical supervision