health answers:

You may want to talk to your doctor about Lovenox. You may need to take a shot of it in the belly, every day until 36 weeks, when switching to heparin maybe advised. Lovenox is ‘safer’ than heparin, but they have you switch because it’s easier to stop the bleeding from heparin, if you need surgery/have the baby.

If you do have to do shots just keep in mind that you’ll probably bruise frequently (and if you show people your belly, prepare to explain) and will bleed very easily.

health answers:

Hi there,

Many women have the lupus anticoagulant, SSA, and the lupus antiphospholipid antibody. Some have lupus nephritis as well.

Bed rest is often indicated and you maybe advised to take a baby aspirin every day.

Among other specialists you may need to see a nephrologist, rheumatologist, regular OB every 2 weeks and a high risk OB. T

health answers:

That sounds like a question for a high risk OBGYN Doctor. Many women do conceive with such medical conditions as PCOS and a positive lupus anticoagulant.

health answers:

Some lupus patients have clotting disorders. They can be detected by a blood test. Unless a doctor knows the patient has lupus and suspects a clotting disorder, they will not test for it. If you have lupus or suspect you have lupus and plan to become pregnant – let your doctor know… so you can prepare for such clotting disorders that include antiphospholipid antibodies, lupus anticoagulant and anticardiolipin.

Women with these disorders can have children. The pregnancies are considered high risk and need to be monitored by an obstetrician who handles high risk pregnancies in conjunction with your rheumatologist.

health answers:

Purpura Fulmicans is usually associated with some underlying infection such as meningitis. It can decrease the blood flow/pressure, sometimes causing digits to be amputated.

The Lupus Anticoagulant/Antiphospholipid Syndrome is a clotting disease that can be treated with blood thinners/aspirin. Blood clots are common in people with APS and early onset usually implies greater complications.

The primary issue is finding the underlying cause of the Purpura Fulmicans and treating it. Usually this will subside after the cause is treated. APS is a different story and is a lifelong issue. There is a much higher rate of heart attack and stroke in people with APS, however, with vigilant treatment lifespan can be normal.

As with most things knowledge is important and the best place to start is with your doctor.