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抗核抗体检测作为系统性红斑狼疮中DNA抗体筛查程序的临床意义。

The clinical significance of the antinuclear antibody test as a screening procedure for DNA antibodies in SLE.

作者信息

El-Ghobarey A E, Sloane D J, Whaley K

出版信息

Scott Med J. 1980 Oct;25(4):293-8. doi: 10.1177/003693308002500409.

DOI:10.1177/003693308002500409
PMID:7010591
Abstract

During the two-year period (1st October 1974-30th September 1976), 2979 sera were tested for DNA antibodies by the Farr test. One thousand six hundred and ninety-five of these were tested because they had high ANA titres (1/256 or greater). In this group 285 sera were found to have raised DNA binding capacities (DNA-bc), 86 of which were found in patients having diagnoses other than SLE. When the diagnoses were reviewed following the finding of a raised DNA-bc, 55 of these patients were found to be suffering from SLE. Of the 1284 sera tested for DNA antibodies without the prior ANA screening procedures, 288 were positive, 36 of which came from patients not considered to have SLE; 30 of these patients were subsequently shown to have SLE. Thus the DNA-bc test is an important tool in the diagnosis of SLE, and the ANA test appears to be a valuable screening procedure. The level of DNA-bc was not of any diagnostic value.

摘要

在两年期间(1974年10月1日至1976年9月30日),采用Farr试验对2979份血清进行了DNA抗体检测。其中1695份血清因抗核抗体(ANA)滴度较高(1/256或更高)而接受检测。在这组血清中,发现285份血清的DNA结合能力(DNA-bc)升高,其中86份来自诊断为非系统性红斑狼疮(SLE)的患者。在发现DNA-bc升高后复查诊断时,发现这些患者中有55例患有SLE。在未经事先ANA筛查程序而检测DNA抗体的1284份血清中,288份呈阳性,其中36份来自未被认为患有SLE的患者;这些患者中有30例随后被证实患有SLE。因此,DNA-bc检测是SLE诊断的一项重要工具,而ANA检测似乎是一种有价值的筛查程序。DNA-bc水平没有任何诊断价值。

相似文献

1
The clinical significance of the antinuclear antibody test as a screening procedure for DNA antibodies in SLE.抗核抗体检测作为系统性红斑狼疮中DNA抗体筛查程序的临床意义。
Scott Med J. 1980 Oct;25(4):293-8. doi: 10.1177/003693308002500409.
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Correlation between the levels of antinuclear antibodies, anti-DNA antibodies, and complement in systemic lupus erythematosus.系统性红斑狼疮中抗核抗体、抗DNA抗体水平与补体之间的相关性
Acta Med Hung. 1988;45(2):145-59.
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Clinical significance of anti-nDNA antibodies in ANA-positive systemic lupus erythematosus: comparison of the Farr radioimmunoassay and the Crithidia luciliae immunofluorescent technique.抗核抗体阳性系统性红斑狼疮中抗双链DNA抗体的临床意义:Farr放射免疫分析法与利什曼原虫免疫荧光技术的比较
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Relationship between anti-DNA antibodies complement consumption and circulating immune complexes in systemic lupus erythematosus.系统性红斑狼疮中抗DNA抗体、补体消耗与循环免疫复合物之间的关系。
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Relation of titred peripheral pattern ANA to anti-DNA and disease activity in systemic lupus erythematosus.系统性红斑狼疮中滴度外周型ANA与抗DNA及疾病活动度的关系
Ann Rheum Dis. 1977 Feb;36(1):44-9. doi: 10.1136/ard.36.1.44.
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Antinuclear antibodies (ANA): immunologic and clinical significance.抗核抗体(ANA):免疫学及临床意义
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A comparison of three anti-double stranded DNA antibody assays on sera from SLE and other diseases.对系统性红斑狼疮(SLE)及其他疾病患者血清进行三种抗双链DNA抗体检测方法的比较。
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The value of tests for antibodies to DNA in monitoring the clinical course of SLE. A long-term study using the Farr test and the DNA counterimmunoelectrophoretic method.检测抗DNA抗体在监测系统性红斑狼疮临床病程中的价值。一项使用Farr试验和DNA对流免疫电泳法的长期研究。
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DNA-antibodies in sera from patients with systemic lupus erythematosus.系统性红斑狼疮患者血清中的DNA抗体。
Acta Derm Venereol. 1975;55(3):195-8.

引用本文的文献

1
Antinuclear antibody-negative systemic lupus erythematosus-how common?抗核抗体阴性的系统性红斑狼疮——有多常见?
J Clin Pathol. 1982 Oct;35(10):1118-21. doi: 10.1136/jcp.35.10.1118.
2
Ocular, systemic and antinuclear antibody changes with acebutolol.醋丁洛尔对眼部、全身及抗核抗体的影响
J R Coll Gen Pract. 1983 Dec;33(257):779-82.
3
Antibodies to dsDNA in connective tissue diseases measured by ultramicro enzyme-linked immunosorbent assay (ELISA) adapted to the chamber analytical technique (CAT).采用适用于腔室分析技术(CAT)的超微酶联免疫吸附测定(ELISA)法检测结缔组织病中的双链DNA抗体。
Arch Dermatol Res. 1984;276(3):182-5. doi: 10.1007/BF00414017.