Table 4.

Classification criteria for CAPS

Criteria 
1. Evidence of involvement of ≥3 organs, systems, tissues, or a combination 
2. Development of manifestations simultaneously or in <1 week 
3. Confirmation by histopathology of small-vessel occlusion in at least 1 organ or tissue  
4. Laboratory confirmation of the presence of aPL antibodies according to international criteria1  
Definite CAPS 
All 4 aforementioned criteria 
Probable CAPS 
All 4 aforementioned criteria, except only 2 organs, systems, tissues, or a combination involved; or 
All 4 aforementioned criteria, except for the absence of laboratory confirmation of antiphospholipid antibodies by repeat testing; or 
Criteria 1, 2, and 4; or 
Criteria 1, 3, and 4, with the development of a third event >1 week but within 1 month of presentation, despite anticoagulation 
Criteria 
1. Evidence of involvement of ≥3 organs, systems, tissues, or a combination 
2. Development of manifestations simultaneously or in <1 week 
3. Confirmation by histopathology of small-vessel occlusion in at least 1 organ or tissue  
4. Laboratory confirmation of the presence of aPL antibodies according to international criteria1  
Definite CAPS 
All 4 aforementioned criteria 
Probable CAPS 
All 4 aforementioned criteria, except only 2 organs, systems, tissues, or a combination involved; or 
All 4 aforementioned criteria, except for the absence of laboratory confirmation of antiphospholipid antibodies by repeat testing; or 
Criteria 1, 2, and 4; or 
Criteria 1, 3, and 4, with the development of a third event >1 week but within 1 month of presentation, despite anticoagulation 

Classification criteria for CAPS as modified from Asheron et al.42 

For histopathologic confirmation, significant evidence of thrombosis must be present, although vasculitis may coexist occasionally.

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