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肌炎中的自身抗体。如何实现血清学检测的综合策略。

Autoantibodies in Myositis. How to Achieve a Comprehensive Strategy for Serological Testing.

作者信息

Mende Miriam, Borchardt-Lohölter Viola, Meyer Wolfgang, Scheper Thomas, Schlumberger Wolfgang

机构信息

EUROIMMUN AG, Luebeck, Germany.

出版信息

Mediterr J Rheumatol. 2019 Sep 30;30(3):155-161. doi: 10.31138/mjr.30.3.155. eCollection 2019 Sep.

DOI:10.31138/mjr.30.3.155
PMID:32185358
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7045863/
Abstract

Myopathies are a rare type of acquired, chronic autoimmune diseases of the skeletal muscles and affect both children and adults. The hallmark symptoms of idiopathic inflammatory myopathies (IIM) are muscle inflammation, proximal muscle weakness and disability, arthritis, cutaneous rashes, calcinosis, ulceration, malignancy and interstitial lung disease (ILD). Subforms of IIM include polymyositis, dermatomyositis, cancer-related myositis and sporadic inclusion body myositis. Autoantibodies function as biomarkers for diagnosis of IIM and can be used to delimit clinically distinguishable IIM subforms. To maximise the diagnostic information it is essential to perform comprehensive multiparametric serological testing including both screening and confirmation tests.

摘要

肌病是一种罕见的后天性慢性骨骼肌自身免疫性疾病,可影响儿童和成人。特发性炎性肌病(IIM)的标志性症状包括肌肉炎症、近端肌无力和功能障碍、关节炎、皮疹、钙质沉着、溃疡、恶性肿瘤和间质性肺病(ILD)。IIM的亚型包括多发性肌炎、皮肌炎、癌症相关性肌炎和散发性包涵体肌炎。自身抗体作为IIM诊断的生物标志物,可用于界定临床上可区分的IIM亚型。为了最大化诊断信息,进行包括筛查和确认试验在内的全面多参数血清学检测至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd3/7045863/d4defc5e67c6/MJR-30-3-155-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd3/7045863/fd25755fc50e/MJR-30-3-155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd3/7045863/d4defc5e67c6/MJR-30-3-155-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd3/7045863/fd25755fc50e/MJR-30-3-155-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8dd3/7045863/d4defc5e67c6/MJR-30-3-155-g002.jpg

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本文引用的文献

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Anti-Ro52 autoantibodies are associated with interstitial lung disease and more severe disease in patients with juvenile myositis.抗 Ro52 自身抗体与青少年皮肌炎患者的间质性肺疾病和更严重的疾病相关。
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Frequency, mutual exclusivity and clinical associations of myositis autoantibodies in a combined European cohort of idiopathic inflammatory myopathy patients.
《地中海风湿病学杂志》2019年9月刊亮点。
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特发性炎性肌病患者欧洲联合队列中肌炎自身抗体的频率、互斥性和临床关联。
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Evaluating the diagnostic utility of new line immunoassays for myositis antibodies in clinical practice: a retrospective study.评估新的肌炎抗体线免疫分析在临床实践中的诊断效用:一项回顾性研究。
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Biomarkers in Adult Dermatomyositis: Tools to Help the Diagnosis and Predict the Clinical Outcome.成人皮肌炎的生物标志物:辅助诊断和预测临床结局的工具。
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