Müller W, Breitschmid P
Z Rheumatol. 1979 Jan-Feb;38(1-2):39-49.
A comparative evaluation was made in 510 sera to study the specificity and sensitivity of 5 different methods for the determination of rheumatoid factors. Special attention was given to the hemagglutination drop tests which are commercially available (Cellognost-RF and Rheumaton). Both hemagglutination slide tests, which are easy to perform and easy to read, were shown to be practically equivalent, and in comparison to the other methods, also showed a good agreement. This is as well applicable to rheumatoid arthritis as to non-inflammatory processes and internal diseases. In practice, Cellognost-RF and analogous hemagglutination slide tests are certainly good screening tests for the rheumatic factors. In combination with the also simple latex-slidetest, the detection of rheumatoid factors in rheumatoid arthritis is somewhat better, although not much. When both reactions are negative, it is not necessary to do any additional tests for the demonstration of rheumatoid factors. Should one or both, however, be positive, the titre determination using the hemagglutination reaction of Waaler-Rose or latex fixation test should be made if possible. In our investigations it was also in principle possible to do these titre determinations with Cellognost-RF.
对510份血清进行了比较评估,以研究5种不同方法测定类风湿因子的特异性和敏感性。特别关注了市售的血凝滴度试验(Cellognost-RF和Rheumaton)。两种易于操作和判读的血凝玻片试验显示实际上是等效的,并且与其他方法相比,也显示出良好的一致性。这适用于类风湿性关节炎以及非炎症性疾病和内科疾病。在实践中,Cellognost-RF和类似的血凝玻片试验无疑是检测风湿因子的良好筛查试验。与同样简单的乳胶玻片试验相结合,类风湿性关节炎中类风湿因子的检测效果稍好一些,尽管提升不多。如果两种反应均为阴性,则无需进行任何额外的类风湿因子检测。然而,如果其中一种或两种反应为阳性,则应尽可能使用瓦勒-罗斯血凝反应或乳胶凝集试验进行滴度测定。在我们的研究中,原则上也可以使用Cellognost-RF进行这些滴度测定。