Irrational testing for antiphospholipid antibodiesBMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f7491 (Published 23 December 2013) Cite this as: BMJ 2013;347:f7491
- Catherine Nelson-Piercy, professor of obstetric medicine1,
- Beverely J Hunt, professor of thrombosis and haemostasis, King’s College London1,
- Munther Khamashta, professor of rheumatology, Women’s Health Academic Centre, King’s College London1,
- Lucy C Chappell, clinical senior lecturer in maternal fetal medicine, Women’s Health Academic Centre, King’s College London1
- 1Guy’s and St Thomas’ NHS Foundation Trust, St Thomas’ Hospital, London SE1 7EH, UK
We read Binder and Ellis’s article with interest,1 but the incongruity of recommending irrational testing in a “Rational Testing” article did not escape us.
The authors advise testing women with a history of two miscarriages for antiphospholipid antibodies, despite clinical classification criteria for antiphospholipid syndrome stipulating three or more …