Senior Consultant Rheumatologist and Director of Acute and General Internal Medicine, Division of Medicine, Ng Teng Fong General Hospital, National University Health System, Singapore.
Cleve Clin J Med. 2019 Mar;86(3):198-210. doi: 10.3949/ccjm.86a.18076.
Laboratory tests are useful in diagnosing rheumatic diseases, but clinicians should be aware of the limitations of these tests. This article uses case vignettes to provide practical and evidence-based guidance on requesting and interpreting selected tests, including rheumatoid factor, anticitrullinated peptide antibody, antinuclear antibody, antiphospholipid antibodies, antineutrophil cytoplasmic antibody, and human leukocyte antigen-B27.
实验室检查有助于风湿性疾病的诊断,但临床医生应了解这些检查的局限性。本文采用病例示例,就如何选择和解读常见的实验室检查(包括类风湿因子、抗瓜氨酸化蛋白抗体、抗核抗体、抗磷脂抗体、抗中性粒细胞胞浆抗体和人类白细胞抗原-B27)提供实用且基于证据的指导。