Lupus anticoagulant in the elderly may be associated with both quinine and quinidine usage

Autor: Margaret R. Bird, Kamal Ibrahim, J. Des Parkin, Russell R C Buchanan, Anthony I. O’Neill
Rok vydání: 1995
Předmět:
Zdroj: Pathology. 27:136-139
ISSN: 0031-3025
DOI: 10.1080/00313029500169742
Popis: Thirty-one patients aged over 60 yrs and with lupus anticoagulant (LA) were reviewed for their drug intake. Twenty-three (73%) were taking cinchona alkaloids, 10 (32%) quinine for night cramps, 11 (35%) quinidine for cardiac arrhythmia and 2 (6%) were taking both. These frequencies of drugs usage differed significantly from age and sex matched controls (p < 0.001). Five patients had features suggestive of the antiphospholipid syndrome. Repeat testing showed persistent LA activity in all but 2 of 5 patients in whom the relevant drug had been ceased. This is the first description of a possible causal association between LA and quinine therapy.
Databáze: OpenAIRE