Endometriosis and Systemic Lupus Erythematosus: A Comparative Evaluation of Clinical Manifestations and Serological Autoimmune Phenomena

Problem:  In view of evidences suggesting association between endometriosis (EM) and systemic lupus erythematosus (SLE), we have performed a comparative evaluation of clinical and humoral immunologic abnormalities in both diseases. Method of study:  Forty‐five women (18–40 years) with histologically...

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Veröffentlicht in:American journal of reproductive immunology (1989) 2005-02, Vol.53 (2), p.85-93
Hauptverfasser: Pasoto, Sandra G., Abrao, Mauricio S., Viana, Vilma S.T., Bueno, Cleonice, Leon, Elaine P., Bonfa, Eloisa
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container_issue 2
container_start_page 85
container_title American journal of reproductive immunology (1989)
container_volume 53
creator Pasoto, Sandra G.
Abrao, Mauricio S.
Viana, Vilma S.T.
Bueno, Cleonice
Leon, Elaine P.
Bonfa, Eloisa
description Problem:  In view of evidences suggesting association between endometriosis (EM) and systemic lupus erythematosus (SLE), we have performed a comparative evaluation of clinical and humoral immunologic abnormalities in both diseases. Method of study:  Forty‐five women (18–40 years) with histologically confirmed pelvic EM, 21 healthy‐women and 15 female SLE‐patients (18–40 years) without surgically confirmed EM were prospectively evaluated. Immunologic investigations were performed by blinded researchers. Results:  None of the EM‐patients fulfilled criteria for SLE. However, EM‐patients presented higher frequencies of arthralgia (62%) and generalized myalgia (18%) superior than normal‐controls (24%, P = 0.004/0%, P = 0.048) but comparable with SLE‐patients (33%, P = 0.052/27%, P = 0.5). Similarly to SLE (7%), 9% of EM‐patients presented fibromyalgia. Antinuclear antibodies (ANA) were detected in 18% of EM‐sera, as compared with healthy‐women (0%, P = 0.014) and SLE‐patients (93%, P = 0.0005). In contrast with SLE, antibodies to dsDNA, Sm and U1RNP were negative in EM‐sera. Anti‐Ro and anticardiolipin antibodies were more often in SLE (40%, 33%) than in EM‐patients (2%, P 
doi_str_mv 10.1111/j.1600-0897.2005.00252.x
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Method of study:  Forty‐five women (18–40 years) with histologically confirmed pelvic EM, 21 healthy‐women and 15 female SLE‐patients (18–40 years) without surgically confirmed EM were prospectively evaluated. Immunologic investigations were performed by blinded researchers. Results:  None of the EM‐patients fulfilled criteria for SLE. However, EM‐patients presented higher frequencies of arthralgia (62%) and generalized myalgia (18%) superior than normal‐controls (24%, P = 0.004/0%, P = 0.048) but comparable with SLE‐patients (33%, P = 0.052/27%, P = 0.5). Similarly to SLE (7%), 9% of EM‐patients presented fibromyalgia. Antinuclear antibodies (ANA) were detected in 18% of EM‐sera, as compared with healthy‐women (0%, P = 0.014) and SLE‐patients (93%, P = 0.0005). In contrast with SLE, antibodies to dsDNA, Sm and U1RNP were negative in EM‐sera. Anti‐Ro and anticardiolipin antibodies were more often in SLE (40%, 33%) than in EM‐patients (2%, P &lt; 0.001/9%, P = 0.04). Elevated immune‐complexes and low total complement were more frequent in SLE (40%, 13%) compared with EM‐sera (7%, P = 0.005/0%, P = 0.01). Conclusions:  Our data indicate differences of ANA antigenic specificity and complement consumption between EM and SLE. The high prevalence of generalized musculoskeletal complaints in EM justifies a multidisciplinary approach.</description><identifier>ISSN: 1046-7408</identifier><identifier>EISSN: 1600-0897</identifier><identifier>DOI: 10.1111/j.1600-0897.2005.00252.x</identifier><identifier>PMID: 15790342</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adolescent ; Adult ; Antibodies, Anticardiolipin - blood ; Antibodies, Antinuclear - blood ; Arthritis - blood ; Arthritis - immunology ; Autoantibodies ; Carbonic Anhydrase II - immunology ; Complement System Proteins - immunology ; Demography ; Double-Blind Method ; endometriosis ; Endometriosis - diagnosis ; Endometriosis - immunology ; Epitopes - immunology ; Female ; fibromyalgia ; Fibromyalgia - blood ; Fibromyalgia - immunology ; Humans ; Lupus Erythematosus, Systemic - diagnosis ; Lupus Erythematosus, Systemic - immunology ; Prospective Studies ; Rheumatoid Factor - blood ; Serologic Tests ; systemic lupus erythematosus</subject><ispartof>American journal of reproductive immunology (1989), 2005-02, Vol.53 (2), p.85-93</ispartof><rights>(c) Blackwell Munksgaard, 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4042-89675454e5bd1b0eb712c7128c152e89b8042cf9f7b0ad755fd09cf5bdbd81703</citedby><cites>FETCH-LOGICAL-c4042-89675454e5bd1b0eb712c7128c152e89b8042cf9f7b0ad755fd09cf5bdbd81703</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1600-0897.2005.00252.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1600-0897.2005.00252.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15790342$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pasoto, Sandra G.</creatorcontrib><creatorcontrib>Abrao, Mauricio S.</creatorcontrib><creatorcontrib>Viana, Vilma S.T.</creatorcontrib><creatorcontrib>Bueno, Cleonice</creatorcontrib><creatorcontrib>Leon, Elaine P.</creatorcontrib><creatorcontrib>Bonfa, Eloisa</creatorcontrib><title>Endometriosis and Systemic Lupus Erythematosus: A Comparative Evaluation of Clinical Manifestations and Serological Autoimmune Phenomena</title><title>American journal of reproductive immunology (1989)</title><addtitle>Am J Reprod Immunol</addtitle><description>Problem:  In view of evidences suggesting association between endometriosis (EM) and systemic lupus erythematosus (SLE), we have performed a comparative evaluation of clinical and humoral immunologic abnormalities in both diseases. Method of study:  Forty‐five women (18–40 years) with histologically confirmed pelvic EM, 21 healthy‐women and 15 female SLE‐patients (18–40 years) without surgically confirmed EM were prospectively evaluated. Immunologic investigations were performed by blinded researchers. Results:  None of the EM‐patients fulfilled criteria for SLE. However, EM‐patients presented higher frequencies of arthralgia (62%) and generalized myalgia (18%) superior than normal‐controls (24%, P = 0.004/0%, P = 0.048) but comparable with SLE‐patients (33%, P = 0.052/27%, P = 0.5). Similarly to SLE (7%), 9% of EM‐patients presented fibromyalgia. Antinuclear antibodies (ANA) were detected in 18% of EM‐sera, as compared with healthy‐women (0%, P = 0.014) and SLE‐patients (93%, P = 0.0005). In contrast with SLE, antibodies to dsDNA, Sm and U1RNP were negative in EM‐sera. Anti‐Ro and anticardiolipin antibodies were more often in SLE (40%, 33%) than in EM‐patients (2%, P &lt; 0.001/9%, P = 0.04). Elevated immune‐complexes and low total complement were more frequent in SLE (40%, 13%) compared with EM‐sera (7%, P = 0.005/0%, P = 0.01). Conclusions:  Our data indicate differences of ANA antigenic specificity and complement consumption between EM and SLE. The high prevalence of generalized musculoskeletal complaints in EM justifies a multidisciplinary approach.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Antibodies, Anticardiolipin - blood</subject><subject>Antibodies, Antinuclear - blood</subject><subject>Arthritis - blood</subject><subject>Arthritis - immunology</subject><subject>Autoantibodies</subject><subject>Carbonic Anhydrase II - immunology</subject><subject>Complement System Proteins - immunology</subject><subject>Demography</subject><subject>Double-Blind Method</subject><subject>endometriosis</subject><subject>Endometriosis - diagnosis</subject><subject>Endometriosis - immunology</subject><subject>Epitopes - immunology</subject><subject>Female</subject><subject>fibromyalgia</subject><subject>Fibromyalgia - blood</subject><subject>Fibromyalgia - immunology</subject><subject>Humans</subject><subject>Lupus Erythematosus, Systemic - diagnosis</subject><subject>Lupus Erythematosus, Systemic - immunology</subject><subject>Prospective Studies</subject><subject>Rheumatoid Factor - blood</subject><subject>Serologic Tests</subject><subject>systemic lupus erythematosus</subject><issn>1046-7408</issn><issn>1600-0897</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUV1v0zAUjRAT-4C_gPzEW7LrxK4dxEtVdd1QGUgFwZvlJA5zie1ix6P9B_zsuR8ar1iyfOR7zrlX92QZwlDgdK7XBZ4A5MBrVpQAtAAoaVlsX2QXz4WXCQOZ5IwAP88uQ1gDpP-KvcrOMWU1VKS8yP7ObeeMGr12QQckbYdWuzAqo1u0jJsY0Nzvxgdl5OhCDO_RFM2c2UgvR_2o0PxRDjFBZ5Hr0WzQVrdyQJ-k1b0K46FyclXeDe7noTyNo9PGRKvQlwdlU38rX2dnvRyCenN6r7JvN_Ovs9t8-XlxN5su85YAKXNeTxgllCjadLgB1TBctunyFtNS8brhidX2dc8akB2jtO-gbvvEbjqOGVRX2buj78a73zHNKIwOrRoGaZWLQSR7SirAiciPxNa7ELzqxcZrI_1OYBD7FMRa7Jct9ssW-xTEIQWxTdK3px6xMar7JzytPRE-HAl_9KB2_20sph_vEkjy_CjXKants1z6X2n8ilHx_X4h-IKsbn6QlaDVE6cMp4M</recordid><startdate>200502</startdate><enddate>200502</enddate><creator>Pasoto, Sandra G.</creator><creator>Abrao, Mauricio S.</creator><creator>Viana, Vilma S.T.</creator><creator>Bueno, Cleonice</creator><creator>Leon, Elaine P.</creator><creator>Bonfa, Eloisa</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200502</creationdate><title>Endometriosis and Systemic Lupus Erythematosus: A Comparative Evaluation of Clinical Manifestations and Serological Autoimmune Phenomena</title><author>Pasoto, Sandra G. ; Abrao, Mauricio S. ; Viana, Vilma S.T. ; Bueno, Cleonice ; Leon, Elaine P. ; Bonfa, Eloisa</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4042-89675454e5bd1b0eb712c7128c152e89b8042cf9f7b0ad755fd09cf5bdbd81703</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Antibodies, Anticardiolipin - blood</topic><topic>Antibodies, Antinuclear - blood</topic><topic>Arthritis - blood</topic><topic>Arthritis - immunology</topic><topic>Autoantibodies</topic><topic>Carbonic Anhydrase II - immunology</topic><topic>Complement System Proteins - immunology</topic><topic>Demography</topic><topic>Double-Blind Method</topic><topic>endometriosis</topic><topic>Endometriosis - diagnosis</topic><topic>Endometriosis - immunology</topic><topic>Epitopes - immunology</topic><topic>Female</topic><topic>fibromyalgia</topic><topic>Fibromyalgia - blood</topic><topic>Fibromyalgia - immunology</topic><topic>Humans</topic><topic>Lupus Erythematosus, Systemic - diagnosis</topic><topic>Lupus Erythematosus, Systemic - immunology</topic><topic>Prospective Studies</topic><topic>Rheumatoid Factor - blood</topic><topic>Serologic Tests</topic><topic>systemic lupus erythematosus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pasoto, Sandra G.</creatorcontrib><creatorcontrib>Abrao, Mauricio S.</creatorcontrib><creatorcontrib>Viana, Vilma S.T.</creatorcontrib><creatorcontrib>Bueno, Cleonice</creatorcontrib><creatorcontrib>Leon, Elaine P.</creatorcontrib><creatorcontrib>Bonfa, Eloisa</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of reproductive immunology (1989)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pasoto, Sandra G.</au><au>Abrao, Mauricio S.</au><au>Viana, Vilma S.T.</au><au>Bueno, Cleonice</au><au>Leon, Elaine P.</au><au>Bonfa, Eloisa</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Endometriosis and Systemic Lupus Erythematosus: A Comparative Evaluation of Clinical Manifestations and Serological Autoimmune Phenomena</atitle><jtitle>American journal of reproductive immunology (1989)</jtitle><addtitle>Am J Reprod Immunol</addtitle><date>2005-02</date><risdate>2005</risdate><volume>53</volume><issue>2</issue><spage>85</spage><epage>93</epage><pages>85-93</pages><issn>1046-7408</issn><eissn>1600-0897</eissn><abstract>Problem:  In view of evidences suggesting association between endometriosis (EM) and systemic lupus erythematosus (SLE), we have performed a comparative evaluation of clinical and humoral immunologic abnormalities in both diseases. Method of study:  Forty‐five women (18–40 years) with histologically confirmed pelvic EM, 21 healthy‐women and 15 female SLE‐patients (18–40 years) without surgically confirmed EM were prospectively evaluated. Immunologic investigations were performed by blinded researchers. Results:  None of the EM‐patients fulfilled criteria for SLE. However, EM‐patients presented higher frequencies of arthralgia (62%) and generalized myalgia (18%) superior than normal‐controls (24%, P = 0.004/0%, P = 0.048) but comparable with SLE‐patients (33%, P = 0.052/27%, P = 0.5). Similarly to SLE (7%), 9% of EM‐patients presented fibromyalgia. Antinuclear antibodies (ANA) were detected in 18% of EM‐sera, as compared with healthy‐women (0%, P = 0.014) and SLE‐patients (93%, P = 0.0005). In contrast with SLE, antibodies to dsDNA, Sm and U1RNP were negative in EM‐sera. Anti‐Ro and anticardiolipin antibodies were more often in SLE (40%, 33%) than in EM‐patients (2%, P &lt; 0.001/9%, P = 0.04). Elevated immune‐complexes and low total complement were more frequent in SLE (40%, 13%) compared with EM‐sera (7%, P = 0.005/0%, P = 0.01). Conclusions:  Our data indicate differences of ANA antigenic specificity and complement consumption between EM and SLE. The high prevalence of generalized musculoskeletal complaints in EM justifies a multidisciplinary approach.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>15790342</pmid><doi>10.1111/j.1600-0897.2005.00252.x</doi><tpages>9</tpages></addata></record>
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subjects Adolescent
Adult
Antibodies, Anticardiolipin - blood
Antibodies, Antinuclear - blood
Arthritis - blood
Arthritis - immunology
Autoantibodies
Carbonic Anhydrase II - immunology
Complement System Proteins - immunology
Demography
Double-Blind Method
endometriosis
Endometriosis - diagnosis
Endometriosis - immunology
Epitopes - immunology
Female
fibromyalgia
Fibromyalgia - blood
Fibromyalgia - immunology
Humans
Lupus Erythematosus, Systemic - diagnosis
Lupus Erythematosus, Systemic - immunology
Prospective Studies
Rheumatoid Factor - blood
Serologic Tests
systemic lupus erythematosus
title Endometriosis and Systemic Lupus Erythematosus: A Comparative Evaluation of Clinical Manifestations and Serological Autoimmune Phenomena
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