Antiphospholipid Syndrome (APS/Hughes syndrome) is an autoimmune, hypercoagulable state caused by antibodies against cell-membrane phospholipids. Up to 46% of stroke patients <50 years old have antiphospholipid antibodies Antiphospholipid Syndrome (APS/Hughes syndrome) is an autoimmune, hypercoagulable state caused by antibodies against cell-membrane phospholipids. The most common of these antibodies, lupus anticoagulant (LA) and anticardiolipin antibodies (aCL), are the basis of laboratory diagnosis. Primary Antiphospholipid Syndrome - thrombosis or multiple pregnancy loss with the laboratory findings of persistent paradoxical prolongation of activated partial thromboplastin time (aPTT) or high titers of aCL antibodies. Secondary Antiphospholipid Syndrome: associated with other autoimmune diseases, infection, drugs, and malignancy. Primary and secondary APS can result in venous or arterial thrombosis in virtually any location; lower extremity deep vein thrombosis (DVT) is the most common presentation. Thrombotic stroke/transient ischemic attack (TIA) is the leading arterial manifestation of APS. Up to 46% of stroke patients <50 years old have antiphospholipid antibodies.
Tags: dyspareunia, diagnosis and treatment
21 October 2011
Dyspareunia is persistent or recurrent pain with attempted or complete vaginal entry and/or penile vaginal intercourse.

Fact#1: Dyspareunia is persistent or recurrent pain with attempted or complete vaginal entry and/or penile vaginal intercourse.

Fact#2: The female postmenopausal population is particularly susceptible to dyspareunia because of vaginal hypoestrogenism.

Fact#3: In the National Health and Social Life Survey of 1,749 women, 43% of women surveyed experienced sexual dysfunction, which included the diagnosis of dyspareunia.

Fact#4: A study evaluating the chief complaint of women presenting to a specialty vulvovaginal clinic revealed that 70% (228/330) reported dyspareunia.

Tags: acrocyanosis, microcirculation
09 October 2011
✓ Acrocyanosis is characterized by painless, symmetric, bluish discoloration and coolness most commonly affecting hands and feet

Acrocyanosis is characterized by painless, symmetric, bluish discoloration and coolness most commonly affecting hands and feet. The condition is exacerbated by cold exposure; however, some degree of cyanosis is often present continuously. Other areas affected are:

✓ nose

✓ ears

✓ lips

✓ nipples.