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Aspirin and Migraine: What About Women? FREE

Hideto Akama, MD; Shuichi Tsuji, MD
JAMA. 1991;265(4):461-461. doi:10.1001/jama.1991.03460040037021
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To the Editor.—  The recent article1 on aspirin for migraine prophylaxis was done entirely on men. We would like to touch on the relationship among anti-phospholipid antibodies, migraine, and aspirin.It now appears that antiphospholipid antibodies may be seen in the absence of any collagen vascular disease.2 Shuaib and colleagues3 described the presenting features and clinical course of six patients (all women) without underlying collagen vascular diseases, with antiphospholipid antibodies who had migraine as an early and prominent symptom. Thus, the antibodies may play a role in migraine pathogenesis in some individuals.2,4 Furthermore, aspirin seems effective in preventing migraine due to antiphospholipid antibodies.3 If a study on aspirin prophylaxis for migraine is performed in a female population sample, we expect that a history of recurrent miscarriages or thrombophlebitis will help determine the efficacy of low-dose aspirin.

REFERENCES

Buring JE, Peto R, Hennekens CH.  Low-dose aspirin for migraine prophylaxis . JAMA . 1990;;264:1711-1713.
Hughes GRV, Harris EN, Gharavi AE.  The anticardiolipin syndrome . J Rheumatol. 1986;;13:486-489.
Shuaib A, Barklay L, Lee MA, Suchowersky O.  Migraine and anti-phospholipid antibodies . Headache . 1989;;29:42-45.
Levine SR, Welch KMA.  The spectrum of neurologic disease associated with antiphospholipid antibodies . Arch Neurol. 1987;;44:876-883.

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Buring JE, Peto R, Hennekens CH.  Low-dose aspirin for migraine prophylaxis . JAMA . 1990;;264:1711-1713.
Hughes GRV, Harris EN, Gharavi AE.  The anticardiolipin syndrome . J Rheumatol. 1986;;13:486-489.
Shuaib A, Barklay L, Lee MA, Suchowersky O.  Migraine and anti-phospholipid antibodies . Headache . 1989;;29:42-45.
Levine SR, Welch KMA.  The spectrum of neurologic disease associated with antiphospholipid antibodies . Arch Neurol. 1987;;44:876-883.
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