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抗DNA抗体及特定实验室检查在系统性红斑狼疮中的预测价值

Predictive value of anti-DNA antibody and selected laboratory studies in systemic lupus erythematosus.

作者信息

Ludivico C L, Zweiman B, Myers A R, Hebert J, Green P A

出版信息

J Rheumatol. 1980 Nov-Dec;7(6):843-9.

PMID:6970815
Abstract

In a retrospective study of 71 patients with systemic lupus erythematosus (SLE), a large number of clinical and laboratory variables were studied in order to determine their predictive value of morbidity and mortality. Patients were followed for an average of 57 months. Anti-DNA antibody, hemoglobin and creatinine levels at initial evaluation correlated significantly (p less than 0.05) for subsequent course of SLE, although each parameter was not a good predictor for final outcome. Anti-DNA correlated better with subsequent course in patients who were diagnosed within 12 months of the initial evaluation. By comparison, other measured parameters were not predictive at all. Anti-DNA, hemoglobin, creatinine and C3 levels at the time of most recent evaluation (date last seen) correlated strongly (p less than 0.01-p less than 0.001) with concurrent clinical status.

摘要

在一项对71例系统性红斑狼疮(SLE)患者的回顾性研究中,研究了大量临床和实验室变量,以确定它们对发病率和死亡率的预测价值。患者平均随访57个月。初始评估时的抗DNA抗体、血红蛋白和肌酐水平与SLE的后续病程显著相关(p小于0.05),尽管每个参数都不是最终结局的良好预测指标。抗DNA与初始评估后12个月内确诊的患者的后续病程相关性更好。相比之下,其他测量参数根本没有预测性。最近一次评估(最后一次就诊日期)时的抗DNA、血红蛋白、肌酐和C3水平与同时期的临床状态密切相关(p小于0.01 - p小于0.001)。

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引用本文的文献

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The central role of chromatin in autoimmune responses to histones and DNA in systemic lupus erythematosus.染色质在系统性红斑狼疮中对组蛋白和DNA的自身免疫反应中的核心作用。
J Clin Invest. 1994 Jul;94(1):184-92. doi: 10.1172/JCI117305.
2
Circulating DNA-antibodies in systemic lupus erythematosus.系统性红斑狼疮中的循环DNA抗体
Rheumatol Int. 1982;2(3):103-6. doi: 10.1007/BF00541161.
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Assessment of class-specific antibodies against denatured DNA in patients with systemic lupus erythematosus.系统性红斑狼疮患者中针对变性DNA的类别特异性抗体的评估。
J Clin Immunol. 1985 Sep;5(5):314-20. doi: 10.1007/BF00918250.
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Anti-DNA antibodies of IgA class in patients with systemic lupus erythematosus.系统性红斑狼疮患者的IgA类抗DNA抗体
Rheumatol Int. 1986;6(2):53-5. doi: 10.1007/BF00541504.
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Systemic lupus erythematosus. Follow-up study of 148 patients. II: Predictive factors of importance for course and outcome.
Clin Rheumatol. 1987 Mar;6(1):22-6. doi: 10.1007/BF02200996.
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Correlation of the activation of the fourth component of complement (C4) with disease activity in systemic lupus erythematosus.系统性红斑狼疮中补体第四成分(C4)激活与疾病活动的相关性。
Ann Rheum Dis. 1988 Nov;47(11):913-7. doi: 10.1136/ard.47.11.913.
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Ann Rheum Dis. 1988 Sep;47(9):717-24. doi: 10.1136/ard.47.9.717.
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