ANTINEUTROPHIL CYTOPLASMIC AUTOANTIBODI ES IN RHEUMATOID ARTHRITIS
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Abstract:
Antineutrophil cytoplasmic autoantibodies (ANCA) were detected in patients with autoimmune and vascular diseases such as Wegener's granulomatosis, polyarteritis nodosa and systemic lupus erythematosus. Indirect immunofluorescence (IIF) technique was employed to detect these autoantibodies. By this method, two general patterns of ANCA were seen: a cytoplasmic (cANCA) and a perinuclear form (p-ANCA). These antibodies were also observed in rheumatoid arthritis (RA) but their prevalence and clinical significance have not been determined. In this study the presence of ANCA in 52 RA patients (10 males and 42 females) and its relationship with disease activity was evaluated. 26.9% of patients were ANCA-positive, 36% of whom had c-ANCA and 64% a p-ANCA pattern. The results also showed that there is no significant correlation between ANCA titer and disease activity (p<O.05). Thus according to the results obtained, the detection of these autoantibodies are not useful for the diagnosis or prognosis of these disorders.
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Journal title
volume 13 issue 4
pages 265- 267
publication date 2000-02
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