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Prevalence of antiphospholipid antibodies in Behçet's disease: A systematic review and meta-analysis

Author

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  • Md Asiful Islam
  • Sayeda Sadia Alam
  • Shoumik Kundu
  • A H M Safayet Ullah Prodhan
  • Shahad Saif Khandker
  • Tatiana Reshetnyak
  • Przemysław J Kotyla
  • Rosline Hassan
  • Tareq Hossan

Abstract

Behçet’s disease (BD) is a multifactorial systemic inflammatory disease of unknown aetiology characterised by several clinical manifestations including vascular involvements (i.e., both arterial and venous thrombosis). Antiphospholipid antibodies (aPLs)—including anticardiolipin (aCL), anti-β2-glycoprotein I (β2-GPI) antibodies and lupus anticoagulant (LA) are detected in systemic autoimmune diseases which contribute to thrombosis. The aim of this systematic review and meta-analysis was to evaluate the prevalence of aPLs in patients with BD as compared to controls. A protocol was registered in PROSPERO (Registration No. CRD42018088125) and a systematic literature search was conducted through PubMed, Web of Science, Embase, Scopus and ScienceDirect databases. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated using random-effects model. Quality assessment was carried out by using the modified 9-star Newcastle-Ottawa Scale (NOS). Publication bias was evaluated via visualisation of contour- enhanced and trim and fill funnel plots along with Begg's and Egger's tests. We included ten case-control studies (a total of 999 participants from 380 BD patients and 619 controls) based on the inclusion criteria. The prevalence of aCL (OR: 12.10, 95% CI: 5.15–28.41, p

Suggested Citation

  • Md Asiful Islam & Sayeda Sadia Alam & Shoumik Kundu & A H M Safayet Ullah Prodhan & Shahad Saif Khandker & Tatiana Reshetnyak & Przemysław J Kotyla & Rosline Hassan & Tareq Hossan, 2020. "Prevalence of antiphospholipid antibodies in Behçet's disease: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-16, January.
    • Handle: RePEc:plo:pone00:0227836
    DOI: 10.1371/journal.pone.0227836
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    References listed on IDEAS

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    1. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
    2. Viechtbauer, Wolfgang, 2010. "Conducting Meta-Analyses in R with the metafor Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 36(i03).
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