Le Goff P, Youinou P
Presse Med. 1984 Nov 24;13(42):2571-6.
The present trend is to break down collagen diseases into subsets on the basis of specific clinical signs, genetic data and, above all, serological data, notably the presence or absence of particular antinuclear antibodies. Studies of correlations between clinical symptoms and antinuclear antibodies have yielded precise results with regard to scleroderma, mixed collagenosis and, to a lesser extent, dermatomyositis. In contrast, discordant results have been obtained in systemic lupus erythematosus and dry Sjögren's syndrome, owing to the presence of multiple antibodies in many cases, to differences in the selection of patients and the method used, and to the small number of cases in the subsets investigated.
目前的趋势是根据特定的临床症状、遗传数据,尤其是血清学数据,将胶原病细分为不同的亚型,特别是特定抗核抗体的存在与否。关于硬皮病、混合性胶原病以及在较小程度上关于皮肌炎,临床症状与抗核抗体之间的相关性研究已经得出了精确的结果。相比之下,在系统性红斑狼疮和干燥综合征中,由于许多病例中存在多种抗体、患者选择和所用方法的差异以及所研究亚型中的病例数量较少,因此得到了不一致的结果。