RESUMEN
INTRODUCCIÓN: El síndrome antifosfolípido (SAF) es una enfermedad autoinmune caracterizada por la aparición de trombosis, complicaciones obstétricas y la presencia de anticuerpos antifosfolípidos. El objetivo de este estudio fue evaluar los resultados obstétricos en gestantes diagnosticadas de síndrome antifosfolípido, así como evaluar las condiciones que podrían influir en estos resultados. MATERIAL Y MÉTODOS: Se realizó un estudio retrospectivo de gestantes con diagnóstico previo de SAF, que fueron atendidas en nuestro centro entre los años 2007 y 2017. RESULTADOS: En el período de estudio se recogieron 35 gestantes con SAF, con un total de 50 gestaciones. Se empleó heparina en el 100% de las gestaciones y ácido acetilsalicílico en el 96%. La aparición de alguna complicación obstétrica ocurrió en el 34% de las gestaciones estudiadas. El perfil de anticuerpos triple positivo se asoció a mayor porcentaje de partos prematuros. La presencia de anticoagulante lúpico de forma aislada no se asoció a peores resultados obstétricos. DISCUSIÓN: La gestación en la mujer con SAF supone un importante reto, que precisa de un manejo multidisciplinar por parte del obstetra y el reumatólogo. Por otro lado, el perfil de anticuerpos antifosfolípidos podría detectar a las pacientes con mayor riesgo con el fin de adecuar el tratamiento y mejorar los resultados obstétricos.
INTRODUCTION: The antiphospholipid syndrome (APS) is an autoinmune disease characterized by the occurence of thrombosis, obstetric morbidity and the presence of antiphospholipid antibodies. The aim of this study was to evaluate the obstetric outcomes in pregnant women diagnosed of antiphospholipid syndrome, as well as examine the conditions which may influence in those results. MATERIALS AND METHODS: A retrospective study was undertaken with pregnant women diagnosed of APS, who were attended in our hospital between 2007 and 2017. RESULTS: During the period of study 35 patients with APS and a sum of 50 pregnancies were gathered. Heparin was used in all pregnancies and acetylsalicylic acid in 96%. Any adverse obstetric outcome occurred in 34% of the pregnancies in the study. The triple positivity of antiphospholipid antibodies was associated to higher percentage of premature deliveries. The lupus anticoagulant alone was not related to worse obstetric outcomes. CONCLUSIONS: Pregnancy in APS patients means a challenge, requiring a multidisciplinary management by Obstetricians and Rheumathologists. On the other hand, the antiphospholipid antibodies profile could help to recognize those patients at risk, in order to adequate treatment and improve obstetric results.
Asunto(s)
Humanos , Femenino , Embarazo , Adulto , Persona de Mediana Edad , Adulto Joven , Complicaciones Hematológicas del Embarazo/inmunología , Síndrome Antifosfolípido/complicaciones , Resultado del Embarazo , Estudios Retrospectivos , Síndrome Antifosfolípido/diagnóstico , Anticuerpos Antifosfolípidos/análisis , Embarazo de Alto Riesgo , TrombofiliaRESUMEN
The Aquidauana Formation is a Permo-Carboniferous sedimentary unit, widely stratigraphicaly distributed in the northwestern and northern portions of the Paraná Basin. However, little paleontological data is available from this formation, preventing accurate biostratigraphic and paleoecological interpretations. An abundant, diversified and well preserved assemblage of palynomorphs was recognized from sampling conducted in an outcrop section in Cipolândia District of Aquidauana Municipality, state of Mato Grosso do Sul, Brazil. A total of 35 indigenous palynomorph taxa was recognized, comprising 6 species of spores (related to 5 genera), 28 species of pollen grains (14 genera) and 1 species of chlorophycean algae. Monosaccate pollen grains are exceptionally dominant, representing 90.38% of the association, particularly constituted by species of the genera Cannanoropollis (30.41% of the total assemblage), Potonieisporites (28.14%) and Plicatipollenites (19.52%). This quantitative overrepresentation is not usual from Gondwana deposits, revealing a particular plant dominance of Cordaitales in the terrestrial flora. These results are interpreted as an upland ecology characterized by plants with a moisture-independent reproduction strategy, under a glacial climate influence. Certain species of pollen allow assignment of this assemblage to the Crucisaccites monoletus Zone (Late Pennsylvanian), which had been recognized only in the middle portion of the Itararé Group at the northeastern margin of the basin.