Question:

Antiphospholipid antibody (APLA) syndrome is associated with all of the following except:

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APLA syndrome causes clotting, not bleeding, despite the lupus anticoagulant name.
Updated On: Jun 24, 2026
  • Bleeding disorders
  • Thrombotic disorders
  • Coagulation disorders
  • Recurrent fetal loss
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The Correct Option is A

Solution and Explanation

Step 1: Antiphospholipid antibody syndrome is an autoimmune state with antibodies such as lupus anticoagulant, anticardiolipin, and anti beta-2 glycoprotein I. The defining problem is a tendency to clot, not to bleed.

Step 2: The hallmark is thrombosis, both venous (deep vein thrombosis, pulmonary embolism) and arterial (stroke). So option B is a true association.

Step 3: Because the antibodies disturb clotting tests, the syndrome is linked to abnormal coagulation findings, classically a prolonged aPTT that does not correct on mixing, so option C is also a true association.

Step 4: Placental thrombosis causes recurrent pregnancy loss, a core obstetric criterion of the syndrome, so option D is true.

Step 5: APLA is a pro-thrombotic, not a bleeding, disorder. The misnomer 'lupus anticoagulant' only refers to in vitro test prolongation, not in vivo bleeding. So option A is the exception.

Correct option: A.
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