Hello Tear Drop,
Firstly may I give you and your partner my heartfelt congratulations on your new little person. Now may I welcome to a wonderful supportive group of people. I am in the UK and was for a long time a patients of Graham Hughes who, as you know the syndrome is named after. It is also called - more commonly known as - APS or antiphospholipid syndrome as you no doubt know. One thing I would like to point out which is that it is not only patients with lupus who can have hughes syndrome/APS. Sometimes this can be worrying, thinking that because a person has APS they also have lupus.
I am not medically qualified but can give you the following information that I have obtained in my research into lupus, as I have had SLE for over 30 years.
The diagnosis depends on the history, the examination, and special tests. The doctor will ask about clotting problems in the past (any history of clots in the leg or lung), previous strokes or heart attacks (and whether they occurred at young ages), less specific clues such as headaches, migraine, memory loss, and confusion. Women will be questioned about past pregnancies, and whether there were any complications. They will be asked specifically about any miscarriages, and at what stage of pregnancy they occurred.
A lacy, net-like, red rash known as 'livedo reticularis' (some patients call this corn beef skin!), is often found in antiphospholipid syndrome, particularly over the wrists and knees.
A simple blood test can detect the 'antiphospholipid antibodies'. Other blood tests can check for underlying conditions, such as lupus. The doctor may also assess other risk factors for thrombosis - by measuring the patients blood pressure to rule out hypertension, checking their glucose levels to rule out diabetes and measuring cholesterol levels.
So all in all, yes it is a blood test regime but also history and family history will be taken to determine if you have or will have a problem. The earlier it is detected, the easier it will be to treat. The treatment is simple too, nothing dramatic.
We are not allowed on this site to give web addresses or links out, but if you key in Hughes Syndrome or indeed APS, you will have access to lots of information. Then if you feel you have more questions to ask, or any type of help or information, please do come and ask whatever questions you feel you need to ask. There will always be someone here who will do their best to be of help to you. You can be assured of so much support and understanding.
If I can help further, please let me know. Once again congratulations on your pregnancy. Take care.