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对非特异性症状患者进行自身抗体筛查的价值。

The value of screening for autoantibodies in patients with non-specific symptoms.

作者信息

Patel C, Lloyd R S, Holdstock G

出版信息

Postgrad Med J. 1985 Jun;61(716):509-10. doi: 10.1136/pgmj.61.716.509.

DOI:10.1136/pgmj.61.716.509
PMID:4011534
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2418440/
Abstract

An autoantibody screen is often requested in patients with non-specific symptoms such as pyrexia of unknown origin. However, in a survey of 100 consecutive requests for this investigation in such patients only one patient was encountered in whom the investigation led to a positive diagnosis at an estimated cost of pound 2500. These requests accounted for 5% of the total workload. These observations reaffirm that this should remain a second line investigation and should be deferred until more likely diagnoses have been excluded.

摘要

对于有不明原因发热等非特异性症状的患者,常常会要求进行自身抗体筛查。然而,在对这类患者连续100次此项检查申请的调查中,仅发现1例患者通过该项检查得出了阳性诊断,估计费用为2500英镑。这些申请占总工作量的5%。这些观察结果再次证实,这应仍是二线检查,应推迟到排除更可能的诊断之后。

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本文引用的文献

1
Fever of unexplained origin: report on 100 cases.不明原因发热:100例报告。
Medicine (Baltimore). 1961 Feb;40:1-30. doi: 10.1097/00005792-196102000-00001.
2
The incidence of occult thyroid disease associated with thyroid antibodies identified on routine autoantibody screening.在常规自身抗体筛查中发现的与甲状腺抗体相关的隐匿性甲状腺疾病的发病率。
Acta Endocrinol (Copenh). 1982 May;100(1):31-5. doi: 10.1530/acta.0.1000031.
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Medicine (Baltimore). 1982 Sep;61(5):269-92.
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Persistent perplexing pyrexia: some comments on etiology and diagnosis.持续性不明热:关于病因与诊断的一些见解
Med Clin North Am. 1970 Mar;54(2):379-96.
5
Fever of undetermined origin.不明原因发热
N Engl J Med. 1973 Dec 27;289(26):1407-10. doi: 10.1056/NEJM197312272892607.