Genetics?: I am very confused. My... - Hughes Syndrome A...

Hughes Syndrome APS Forum

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Genetics?

Iinca123 profile image
9 Replies

I am very confused. My husband had a stroke at 32yrs and was later diagnosed with Hughes syndrome. In the 16yrs we have been together he has continually complained about problems with his vision, balance and head aches. He's been back and forth to the GPs over the years to be sent away saying its all in his head! The MRI he had showed he had older scaring from smaller mini strokes.

My confusion is due to the various specialists contradicting each other. We have been told this can be genetic and then also told its absolutely not.

We have 3 children and we want them tested if this is the case. Can anyone shed any light on this? Any info would be appreciated.

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Iinca123
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Iinca123 profile image
Iinca123

We are in Wakefield, West Yorkshire, UK. His symptoms have calmed down now he's been diagnosed with APS and is on warfarin. My main concern comes from the fact he's been dismissed by our doctors for years. It wasn't until he had his stroke 18mths ago at the age of 32 they actually listened to him! He now sees a neurologist for his stroke and rheumatoid specialist for APS.

We were given a leaflet on APS and told it can be genetic and our daughters risk multiple miscarriage along with strokes. Then another doctor tells us this is not the case We feel so lost with very little consistent information.

If this is genetic we don't want our children to risk having a miscarriage or stroke simply because GPs are not familiar with it.

Manofmendip profile image
Manofmendip in reply to Iinca123

Hi there and welcome.

As my colleague, APsnotFab has said, your husband absolutely needs to be under the care of an APS/Hughes consultant.

Please have a look at our charity's website:

hughes-syndrome.org

and especially:

hughes-syndrome.org/self-he...

From my own experience and those of others on here, many of his symptoms would benefit from having the correct medication, which may include anticoagulation and anti-platelet drugs.

Please insist on him being referred to a specialist from the charity's list, see link above. Alternatively, he could self refer as a private patient to Prof Hughes or one of his team at: The London Lupus Centre, London Bridge Hospital, he does not need a GP referral to be seen there. Here is thee link to them:

londonlupuscentre.co.uk/

Good luck and please ensure that he is seen by the appropriate consultant and please let us know how you get on.

Best wishes.

Dave

Iinca123 profile image
Iinca123 in reply to Manofmendip

Is the rheumatologist not the right consultant then? thats the only blood doctor he's seen.

Laura

Manofmendip profile image
Manofmendip in reply to Iinca123

Hi Laura

Most APS consultants are Rheumatologists. However, not all Rheumatologists are APS experienced, so it's important to get one who is and who will be proactive.

Dave

Lure2 profile image
Lure2

Hi Laura,

I wonder at what therapeutic level of INR your husband is regarding his warfarin?

We have learnt here that we feel best if our INR is over an INR of 3.5. We have very thick (sticky) blood and we do not bleed but clot from this illness.

So very few doctors understand this which is the most important issue as the blood needs to be well anticoagulated and also kept within the therapeutic range to avoid further clots and embolies. I have had a lot of microembolies and am on Warfarin with an INR of 3.2 - 3.8 at present and I also selftest since 3 years.

Read "Sticky Blood Explained" by Kay Thackray. She has the illness herself and writes about the different symptoms of this illness. It is a very good book about how it is to live with APS. I have it in pocket. Good for relatives also to understand APS.

My two girls are around 35 and wanted to be tested for APS. Important if you have Girls, is that they do not use the "pill". APS is not said to be genetic but you can inherit the tendency to get it. (Hope you understand as I am Swedish)

I had also problems with balance, vision (lost my vision in one eye for some minutes), Vertigo (had to crawl on the floor or hold on to a tree not to fall and everything was spinning to the left, doublevision, felt the heartbeat in my eye.

I had very high bloodpressure before I started warfarin and now I have got Pulmonary Hypertension and leaking heartvalves. So tell him to cheque his bloodpressure! These things have been caused by APS.

Best wishes and give my regards to your husband!

Kerstin in Stockholm

MaryF profile image
MaryFAdministrator

HI and welcome you have had some good advice already, it is crucial you see one of recommended specialists off the list, and also that you and he familiarize yourselves with the charity website, it contains lots of up to date information and also various books for sale also, please use this forum as much as you like, and be aware that having the right specialist will not only help you but also your GP surgery who clearly will be helped by more fine tuned expert guidance. MaryF

tim47 profile image
tim47

You might find it useful to look at the video from the patients day.

youtube.com/playlist?list=P...

fbenny profile image
fbenny

I was told it is likely to be genetic in my case as my Dad has it. However my brother has been tested and he was clear, I have another brother who hasn't been tested. They took a long time to diagnose my Dad and in my case it was by accident during IVF treatment. Good luck with getting the treatment he needs. Dependant on your GP you do need to be persistent to get refereed properly to an aps specialist.

Iinca123 profile image
Iinca123

I've been to GPs today and the children are getting a referral to a rheumatologist. 😃

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