romboembolic illness in which an effective anticoagulation is crucial. The information with direct oral anticoagulant in Malaysia is quite limited. Aims: To study around the effectiveness of DOAC in APLS sufferers. Solutions: All 16 patients with APLS have been identified retrospectively for direct oral anticoagulation (DOAC) Rivaroxaban. Benefits: Out on the 16 patients with APLS, 11 have been on rivaroxaban 20mg every day and five have been on rivaroxaban 15mg BD. 9 had been females and 7 have been males. The cause for switching from oral Caspase Activator Synonyms warfarin or low molecular weight heparin to oral rivaroxaban, namely hard INR monitoring in 7 patients, patient’s request in six sufferers, noncompliance in three patients. 14 sufferers had been diagnosed mostly with Venous Thromboembolism (VTE), 1 was diagnosed mainly with ischemic stroke and 1 was diagnosed mainly with thrombosisLaboratory of Hematology, Hospital University Habib Bourguiba, Sfax,Tunisia; 2Department of Pediatrics, Hospital University Hedi Chaker, Sfax, Tunisia Background: Childhood-onset systemic lupus erythematosus (cSLE) can be a uncommon multisystem autoimmune disease. The diagnosis could be ambiguous because of the heterogeneity of clinical manifestations.The occurrence of cSLE is particularly uncommon before the age of five years. Aims: The goal of this observation would be to highlight the significance of hemostasis tests within the diagnosis of cSLE.ABSTRACT785 of|in unusual web pages. Apart from VTE, there were two patients had arterial events and two patients had thrombosis in uncommon web-sites. Six of them have been double good for antiphospholipid antibodies (APLA) and a single was triple optimistic for APLA. Treatment Outcome: This cohort was followed-up as outpatient for at least 3 years. 3 individuals have been switched back to warfarin. Amongst the three, initially one particular had developed recurrent VTE and was difficult by Chronic Thromboembolic Pulmonary Arterial Hypertension (CTEPH); second one had recurrent DVT and third 1 was non-compliant to rivaroxaban. 1 had an episode of transient ischemic attack as a consequence of missing his medication for 2 weeks but was resumed rivaroxaban as patient’s preference. 3 individuals defaulted the treatment and a single had migrated to New Zealand. A single passed away due to Acute Coronary Syndrome. In the long run, only 8 of them remained uneventful when on oral rivaroxaban. Conclusions: The true globe practical experience illustrates DOAC can be a viable option for long term anticoagulation in patient with uncomplicated APLS.slight prolonged CT, most Caspase 2 Activator Storage & Stability likely in relation to LA, devoid of any other abnormality in clot formation. Conclusions: This case illustrates how the presence of a potent LA can interfere with factor assays interpretations, in addition to APTT. Considerably prolonged screening tests inside a patient with no bleeding symptoms, could make us suspect of LA and guide our investigation for a faster response, mainly in scenarios when invasive procedure is necessary and urgent. Within this context, as opposed to PT and APTT, viscoelastic tests might be a superb approach due to the fact it reflects far more accurately and rapidly patient coagulation status.ATRIAL FIBRILLATION PB1069|Association of Retest Interval with INR Manage in Warfarin Individuals with Markedly Out of Range INRs B. Haymart1; X. Kong1; G.D Barnes1; A. Purohit1; M. Ali2; E. KlineRogers1; J.H Kozlowski3; G. Krol4; V. Shah4; J.B Froehlich1; S. KaatzPO168|Unusual Laboratory Presentation of Lupus Anticoagulant: Prolonged Prothrombin Time (PT) and Activated Partial Thromboplastin Time (APTT) without the need of Severe Factor Deficiency