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Printable Handouts
Navigable Slide Index
- Introduction
- Hughes syndrome/APS
- 34 years ago
- The Lancet, November 1983
- 1983
- 1984: first world symposium on aPL
- Main players in the field
- The view from the clinic
- Not just thrombosis and miscarriage (1)
- Not just thrombosis and miscarriage (2)
- Teenage migraine
- Rio 2013: myocardial ischaemia in APS and SLE
- Coeliac artery stenosis in APS
- Memory loss
- Success
- Beta-2 GP1
- A crossroads of autoimmunity and atherosclerosis
- Two major ‘new’ diseases of the late 20th century
- aPL testing in pregnancy?
- APS in dogs with IMHA
- Off the beaten track: 10 lessons
- Case 1: glandular fever & sleep disturbance
- Ms. MD aged 30 (1)
- Ms. MD aged 30 (2)
- Ms. MD aged 30 (3)
- Lesson 1: sleep disturbance & APS
- Sleep disturbance
- Lesson 2: teenage migraine
- Cost of migraine
- Migraine and cardiovascular disease
- Migraine and stroke
- Lesson 3: genetics vs. environment
- Environmental triggers
- Genetics
- Family history: 14 sibs
- Lesson 4: pain in the hips
- Mrs. RJ, 48 APS
- AVN: another feature of APS?
- Musculoskeletal manifestations of APS
- Lesson 5: MS or APS?
- Miss SJ, age 24 (1)
- Miss SJ, age 24 (2)
- Myelopathy
- Is “atypical” MS a manifestation of APS?
- Is anti beta 2 antibody more common in MS?
- Lesson 6: infertility
- Success: lupus and pregnancy
- Mrs DS, 30 APS
- Is infertility under-recognized in APS?
- Lesson 7: “funny turns”
- Mrs. TI, 41 (1)
- Mrs. TI, 41 (2)
- Mrs. TI, 41 (3)
- Mrs. TI, 41 (4)
- Epilepsy: a big story
- Lesson 8: fainting in school
- Mary J, 29
- Therapeutic implications of PoTS/APS?
- Email from patient (APS and PoTS)
- APS + PoTS? the clinical ripples spread
- Lesson 9: unhelpful tests?
- Unhelpful tests: Mrs. Smith
- Sero-negative APS
- Unhelpful tests: Mrs. Jones
- IgA anti-beta2
- Lesson 10: the big 3
- Mrs. TS, 51
- Fatigue
- APS: predictions for 2050
- Predictions for 2050
- Challenges
- Thank you!
Topics Covered
- Hughes syndrome/APS: past, present & future
- APS: not just thrombosis and miscarriage
- β2 GP1
- Sleep disturbance & APS
- Teenage migraine
- Genetics vs. environment
- Pain in the hips
- MS or APS?
- Infertility
- "Funny turns": epilepsy
- Fainting in school: APS and PoTS
- Unhelpful tests
- The big 3: Hughes syndrome, Sjogren’s syndrome and Hashimoto’s
- Predictions for 2050
Links
Categories:
Therapeutic Areas:
Talk Citation
Hughes, G. (2017, December 31). Hughes syndrome/APS [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved December 26, 2024, from https://doi.org/10.69645/KYEE2790.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Graham Hughes has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
A selection of talks on Clinical Practice
Transcript
Please wait while the transcript is being prepared...
0:00
My name's Graeme Hughes and I'm at
the London Lupus centre at London Bridge Hospital shown on this slide,
not the shard which is behind us but on the river.
I'm also the editor of the Lupus Journal and some of the data in
this short talk is going to come from that journal.
So my talk now is on the Hughes syndrome or Antiphospholipid syndrome as we call it.
0:22
The title I've given it is "Past,
present and future" and I'll be very brief in reviewing the history.
0:31
It's actually 34 years ago that we've first
published the details of this in a number of journals,
but basically the first publication was in the British Medical Journal in
1983 and we were also working on essays for Anticardiolipin and other antibodies.
0:51
And in the same year,
towards the end of the year we published in The Lancet a paper on
the assessment of Anticardiolipin antibodies which still is in use today,
the detection by various methods.
So this is the discovery of a syndrome which is characterized by a few things.
One was particularly important and that is these patients had
a tendency to clotting both in the veins and the arteries and also,
this was a clear example where a group of antibodies were contributing to the problem.
1:25
These are some of my team,
this was when I was at the Hammersmith Hospital and next to me on my left is
Azis Garavie who was really a genius in the lab working at that time,
and behind him is Nigel Harris from the Caribbean who
joined the team and with Azis became instrumental in setting up the essays.
And a number of people here were clinical fellows involved in our early work.
But back left is Charles Mackwith Young who did some of
our clinical studies of Antiphospholipid antibodies.