Primary antiphospholipid syndrome and the kidney: biopsy-proven insights from two referral Italian centres

Intra-renal involvement in PAPS is rare but heterogeneous, encompassing both vascular and glomerular pathologies. These findings support the need for heightened renal surveillance in PAPS, even in the absence of classic thrombotic manifestations, and highlight the importance of histologic assessment to guide tailored therapy. From a nephrologist's perspective, routine screening for aPL in glomerular disease assessment may be relevant, particularly by providing prognostic value for subsequent aPL-related events.

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Lara D. Veeken
Published
2025-11-12
DOI
https://doi.org/10.1093/rheumatology/keaf593
Primary Topic
Systemic Lupus Erythematosus Research
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article
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article

Primary antiphospholipid syndrome and the kidney: biopsy-proven insights from two referral Italian centres

Mattia Zappa, Dario Roccatello, Micaela Fredi, Savino Sciascia et al.
Lara D. Veeken
Systemic Lupus Erythematosus Research
article

Primary antiphospholipid syndrome and the kidney: biopsy-proven insights from two referral Italian centres

Mattia Zappa, Dario Roccatello, Micaela Fredi, Savino Sciascia, Franco Franceschini, Federica Mescia, Cecilia Nalli, Federico Alberici, Liala Moschetti, Ilaria Cavazzana, Massimo Radin, Laura Andréoli, Anǵela Tincani, Stefania Affatato
article en

Abstract

Intra-renal involvement in PAPS is rare but heterogeneous, encompassing both vascular and glomerular pathologies. These findings support the need for heightened renal surveillance in PAPS, even in the absence of classic thrombotic manifestations, and highlight the importance of histologic assessment to guide tailored therapy. From a nephrologist's perspective, routine screening for aPL in glomerular disease assessment may be relevant, particularly by providing prognostic value for subsequent aPL-related events.

Lara D. VeekenVol. 65(2)
Surgical Specialties (Canada) (CA), Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT), Ospedale San Giovanni Bosco (IT), University of Brescia (IT)
Openalex Percentile: Top 51%
Systemic Lupus Erythematosus Research
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Primary antiphospholipid syndrome and the kidney: biopsy-proven insights from two referral Italian centres — Mattia Zappa, Dario Roccatello, et al. · Lara D. Veeken (2025) | TGRS Research Map | TGRS