Immune complexes and antinuclear, antinucleolar, and anticentromere antibodies in scleroderma

Forty-one patients with various forms of systemic sclerosis (scleroderma) and positive antinuclear antibodies of nucleolar (ten patients), speckled (eleven patients), or centromere pattern (twenty patients) were selected for study of immune complexes by the radioisotope labeled Clq binding and the r...

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Veröffentlicht in:Journal of the American Academy of Dermatology 1984-09, Vol.11 (3), p.461-467
Hauptverfasser: Chen, Ze-yi, Virella, Gabriel, Tung, Hsiaoho Edward, Ainsworth, Sterling K., Silver, Richard M., Wang, An-Chuan, LaVia, Mariano F., Maricq, Hildegard R., Dobson, Richard L.
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container_end_page 467
container_issue 3
container_start_page 461
container_title Journal of the American Academy of Dermatology
container_volume 11
creator Chen, Ze-yi
Virella, Gabriel
Tung, Hsiaoho Edward
Ainsworth, Sterling K.
Silver, Richard M.
Wang, An-Chuan
LaVia, Mariano F.
Maricq, Hildegard R.
Dobson, Richard L.
description Forty-one patients with various forms of systemic sclerosis (scleroderma) and positive antinuclear antibodies of nucleolar (ten patients), speckled (eleven patients), or centromere pattern (twenty patients) were selected for study of immune complexes by the radioisotope labeled Clq binding and the radioisotope labeled protein A binding methods. The presence of immune complexes was found by the Clq binding assay in sixteen patients (39%) and by a protein A binding assay in eight patients (20%). Overall, 46% of patients (19/41) had immune complexes. A lower incidence of organ involvement and fewer positive results in the screening of serum immune complexes were observed in patients with centromere antibody (35%) than in patients with nucleolar (60%) or speckled pattern (55%). Patients with immune complexes had higher frequencies of kidney, heart, and muscle involvement and digital ulceration than did patients with no detectable immune complexes, but the differences were not statistically significant. Diffuse skin involvement was not related to the presence of immune complexes.
doi_str_mv 10.1016/S0190-9622(84)70191-5
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The presence of immune complexes was found by the Clq binding assay in sixteen patients (39%) and by a protein A binding assay in eight patients (20%). Overall, 46% of patients (19/41) had immune complexes. A lower incidence of organ involvement and fewer positive results in the screening of serum immune complexes were observed in patients with centromere antibody (35%) than in patients with nucleolar (60%) or speckled pattern (55%). Patients with immune complexes had higher frequencies of kidney, heart, and muscle involvement and digital ulceration than did patients with no detectable immune complexes, but the differences were not statistically significant. 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Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. 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subjects Adult
Aged
Antibodies, Antinuclear - isolation & purification
Antigen-Antibody Complex - isolation & purification
Autoimmune Diseases - diagnosis
Autoimmune Diseases - immunology
Biological and medical sciences
Cell Nucleolus - immunology
Centromere - immunology
Chromosomes - immunology
Diagnosis, Differential
Humans
Immune Complex Diseases - diagnosis
Immune Complex Diseases - immunology
Immunologic Techniques
Medical sciences
Middle Aged
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Scleroderma, Systemic - diagnosis
Scleroderma, Systemic - immunology
Scleroderma, Systemic - pathology
Skin - ultrastructure
title Immune complexes and antinuclear, antinucleolar, and anticentromere antibodies in scleroderma
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