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[抗磷脂抗体检测的意义]

[The significance of antiphospholipid antibodies tests].

作者信息

Otomo Kotaro, Atsumi Tatsuya

机构信息

Department of Medicine II, Hokkaido University Graduate School of Medicine.

出版信息

Nihon Rinsho Meneki Gakkai Kaishi. 2013;36(2):63-70. doi: 10.2177/jsci.36.63.

Abstract

Antiphospholipid syndrome (APS) is an autoimmune disease defined by the presence of antiphospholipid antibodies (APL) in plasma of patients with thrombosis and/or pregnancy morbidity. In the classification criteria of APS, the presence of lupus anticoagulant (LA), anticardiolipin antibodies (aCL) or anti-β2-glycoprotein I antibodies (aβ2GPI) is necessary to diagnose APS. Recently, we defined "antiphospholipid score (aPL-S)" and evaluate the predictive value for thrombosis. In the study, aPL-S may be a predictive marker for developing thrombosis in patients with autoimmune diseases. In this article, we explain various APL assays for diagnosing APS in a clinical practice, introduce the study of "aPL-S", and discuss the significance of APL tests not only for a diagnosis of APS but also for a predictive marker of thrombosis in patients with autoimmune diseases.

摘要

抗磷脂综合征(APS)是一种自身免疫性疾病,其定义为血栓形成和/或妊娠并发症患者血浆中存在抗磷脂抗体(APL)。在APS的分类标准中,狼疮抗凝物(LA)、抗心磷脂抗体(aCL)或抗β2糖蛋白I抗体(aβ2GPI)的存在是诊断APS所必需的。最近,我们定义了“抗磷脂评分(aPL-S)”并评估了其对血栓形成的预测价值。在该研究中,aPL-S可能是自身免疫性疾病患者发生血栓形成的预测标志物。在本文中,我们解释了临床实践中用于诊断APS的各种APL检测方法,介绍了“aPL-S”的研究,并讨论了APL检测不仅对于APS诊断而且对于自身免疫性疾病患者血栓形成预测标志物的意义。

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