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[用于早期检测风湿性自身免疫性疾病的实验室诊断:全科医生指南]

[Laboratory diagnostics for early detection of rheumatic autoimmune diseases: a guide for the general practitioner].

作者信息

Endler Georg, Demel Ulrike, Forster Ernst, Griesmacher Andrea, Hübner Christin, Klotz Werner, Steiner Günter, Wagner W, Herold Manfred

机构信息

Zentrallabor, Wilhelminenspital der Stadt Wien, Wien, Österreich.

出版信息

Wien Med Wochenschr. 2012 Nov;162(21-22):454-63. doi: 10.1007/s10354-012-0134-8. Epub 2012 Aug 14.

Abstract

Autoimmune diseases are a clinically heterogeneous group of disorders that represent a challenge for the general practitioner in daily routine. Except for rheumatoid arthritis, which is one of the most frequent autoimmune diseases with a prevalence of approximately 1 % of the population, systemic autoimmune disorders are rare. Thus outside specialized wards it might be a challenge to diagnose the underlying autoimmune disease considering the often kaleidoscopic clinical manifestations. Together with careful anamnesis and suspicious clinical symptoms determination of specific autoantibodies can support the suspected diagnosis. The Austrian group of the European autoimmune standardization initiative (EASI) firstly published this guide 2009 with the aim to provide a map through the jungle of the biomarkers for autoimmune diseases for the general practitioner.

摘要

自身免疫性疾病是一组临床异质性疾病,给全科医生的日常工作带来挑战。除类风湿关节炎这一最常见的自身免疫性疾病之一(患病率约占总人口的1%)外,全身性自身免疫性疾病较为罕见。因此,在专科病房之外,鉴于临床表现往往千变万化,诊断潜在的自身免疫性疾病可能具有挑战性。结合细致的病史采集和可疑的临床症状,特定自身抗体的检测有助于支持疑似诊断。欧洲自身免疫标准化倡议(EASI)的奥地利小组于2009年首次发布本指南,旨在为全科医生提供一张穿越自身免疫性疾病生物标志物丛林的地图。

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