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[血清免疫球蛋白与氨基酸结合能力在轻度活动的风湿热、类风湿关节炎和系统性红斑狼疮中的鉴别诊断意义]

[The differential diagnostic significance of the binding capacity of serum immunoglobulins with amino acids in rheumatism, rheumatoid arthritis and systemic lupus erythematosus with a minimal degree of activity].

作者信息

Amosova E N, Fedorich V N, Zamulko A A

出版信息

Lik Sprava. 1994 Feb(2):20-3.

PMID:8073710
Abstract

The ability of immunoglobulins (Ig) G, A and M to bind to amino acids was studied in 27 patients with rheumatism (R), 28 with rheumatoid arthritis (RA) and 27 patients with systemic lupus erythematosus (SLE) with minimum degree of activity. The enhancement of the binding capacity of IgG with respect to arginine, glutamic acid, lysine and decrease of that of IgM towards serine was established to be of diagnostic value in R as was the enhancement of the above capacity of IgG and A with respect to proline and oxyproline in RA and enhancement of that of Ig of all three classes with respect to a broad range of amino acids in SLE. Information criteria were established of differential diagnosis of R, RA and SLE.

摘要

对27例风湿患者、28例类风湿关节炎患者和27例最低活动度的系统性红斑狼疮患者,研究了免疫球蛋白G、A和M与氨基酸结合的能力。已确定,在风湿患者中,IgG与精氨酸、谷氨酸、赖氨酸的结合能力增强,IgM与丝氨酸的结合能力下降具有诊断价值;在类风湿关节炎患者中,IgG和A与脯氨酸和羟脯氨酸的上述结合能力增强具有诊断价值;在系统性红斑狼疮患者中,所有三类免疫球蛋白与多种氨基酸的结合能力增强具有诊断价值。建立了风湿、类风湿关节炎和系统性红斑狼疮鉴别诊断的信息标准。

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