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白塞病患者的特异性和非特异性抗核抗体染色模式重要吗?

Are the Specific and Nonspecific ANA Staining Patterns of Behçet's Disease Patients Important?

作者信息

Ilhan Fulya, Aksoy Rahime, Tutkak Hüseyin

机构信息

Department of Immunology, Faculty of Medicine, Elazığ University, Elaziğ, Turkey.

Department of Hematology, Faculty of Medicine, Ankara University, Ankara, Turkey.

出版信息

Reumatol Clin (Engl Ed). 2020 Dec 29. doi: 10.1016/j.reuma.2020.11.002.

Abstract

BACKGROUND

The autoinflammatory character of Behçet's Disease has led researchers to investigate the role of autoantibodies. However, no significant positive result has been reported for autoantibody tests for the disease.

AIMS

To investigate the specific and nonspecific staining patterns of Behçet's Disease (BD) patients.

METHODS

140 patients (87 females, 53 males) with an average of 41.9±3 years who were being followed up for Behçet's Disease, and a control group consisting of a total of 736 (464 females, 272 males) healthy volunteers made up of blood donors without any disease whose average age was 50.2±4 years were included in the study. Peripheral venous blood was collected from the patients and the sera were separated. Patient sera were studied by indirect immunofluorescence antibody test (IFA) at a dilution of 1/40 and 1/100.

RESULTS

A total of 140 (87 females, 53 males) Behçet's Disease patients and 736 (464 females, 272 males) healthy controls were examined. The rate of ANA positivity was 11.6% in the control group and 10.7% in the Behçet's Disease group. In general, no difference was detected between the patients and the healthy controls in terms of autoantibody positivity (p>0.05). However, when examined in terms of patterns, the low detection of DFS70 and the observation of centriole staining type patterns in Behçet's Disease patients was noteworthy (p<0.05).

CONCLUSION

Autoantibody tests, which hold an important place in classic autoimmune diseases, are not necessary for Behçet's patients, but they should be examined in terms of nonspecific patterns.

摘要

背景

白塞病的自身炎症特征促使研究人员研究自身抗体的作用。然而,针对该疾病的自身抗体检测尚未报告有显著阳性结果。

目的

研究白塞病(BD)患者的特异性和非特异性染色模式。

方法

纳入140例平均年龄为41.9±3岁的白塞病患者(87例女性,53例男性),这些患者正在接受白塞病随访,以及一个由736名(464例女性,272例男性)健康志愿者组成的对照组,这些志愿者为无任何疾病的献血者,平均年龄为50.2±4岁。从患者采集外周静脉血并分离血清。患者血清通过间接免疫荧光抗体试验(IFA)以1/40和1/100的稀释度进行研究。

结果

共检查了140例(87例女性,53例男性)白塞病患者和736例(464例女性,272例男性)健康对照。对照组中抗核抗体(ANA)阳性率为11.6%,白塞病组为10.7%。总体而言,患者和健康对照在自身抗体阳性方面未检测到差异(p>0.05)。然而,从模式方面检查时,白塞病患者中DFS70的低检出率和中心粒染色类型模式的观察值得注意(p<0.05)。

结论

自身抗体检测在经典自身免疫性疾病中占有重要地位,对白塞病患者并非必要,但应从非特异性模式方面进行检查。

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