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lupus anticoagulant : ウィキペディア英語版
lupus anticoagulant

Lupus anticoagulant (also known as lupus antibody, LA, LAC, or lupus inhibitors) is an immunoglobulin that binds to phospholipids and proteins associated with the cell membrane. Lupus anticoagulant is a misnomer, as it is actually a prothrombotic agent. Lupus anticoagulant antibodies in living systems cause an increase in inappropriate blood clotting. The name derives from their properties in vitro, since in laboratory tests, these antibodies increase aPTT. Investigators speculate that the antibodies interfere with phospholipids used to induce in vitro coagulation. In vivo, the antibodies are thought to interact with platelet membrane phospholipids, increasing adhesion and aggregation of platelets, which accounts for the in vivo prothrombotic characteristics.
The condition was first described by hematologist C. Lockard Conley.
==Terminology==
Both words in the term "lupus anticoagulant" can be misleading:
* Most patients with a lupus anticoagulant do not actually have lupus erythematosus, and only a small proportion will proceed to develop this disease (which causes joint pains, skin problems and renal failure, amongst other complications). Patients with lupus erythematosus are more likely to develop a lupus anticoagulant than the general population.
* The term "anticoagulant" accurately describes its function in vitro. However in vivo, it functions as a ''pro-coagulant''.〔(【引用サイトリンク】title=wustl.edu )

抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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