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Thread: Ata, apa, ana

  1. #1
    Join Date
    Oct 2010
    Posts
    4

    Default Ata, apa, ana

    Hi Dr Coulam,

    I am wondering if you think IVIg would be a prescribed treatment for one or any of the following:
    anti-thyroid antibodies
    anti-phosphatidic antibodies
    anti-nuclear antibodies (1:40 titre)

    If not IVIg, would prednisone be sufficient?

    Any other thoughts of treatment options?

    Thank you,
    Cheryllynn

  2. #2
    Join Date
    Sep 2008
    Posts
    677

    Default

    IVIg has been used for all of those indications but it really depends on the specific situation. Treatment is not based on laboratory results alone. Consultation and evaluation is required before specific treatment can be recommended. Dr. Coulam

  3. #3
    Join Date
    Oct 2010
    Posts
    4

    Default ANA follow-up

    Hi -

    I am curious about ANA's. Is it known how these may impact pregnancy? Is it only a concern in the first trimester or throughout the entire pregnancy? If prednisone is used, is there a standard dosage/protocol with prednisone?

    Thank you,
    Cheryl

  4. #4
    Join Date
    Sep 2008
    Posts
    677

    Default

    ANA by itself doesst not impact all pregnancy outcomes. It can represent an umderlying autoimmune process that can affect pregnancy but not necessarily. Dr. Coulam

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