Immune serological testing was conducted for the 3 essential elements in the diagnosis of antiphospholipid syndrome, according to the updated Sapporo criteria: LA, aCL, and aβ2GPI.[11] Plasma samples for LA measurement were analyzed using a coagulant machine (STA R MAX, STAGO, Asnières sur Seine, France) and STACLOT DRVV reagent kit (STAGO), adhering to the manufacturer’s guidelines. This evidence concerns the gene ACLY and antiphospholipid syndrome.