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ArtikelClinical Significance of Phospholipid-Dependent Anti-Beta2-Glycoprotein I (Beta2-GPI); Antibodies in Systemic Lupus Erythematosus  
Oleh: Kaburaki, J. ; Kuwana, M. ; Yamamoto, M. ; Kawai, S. ; Matsuura, E. ; Ikeda, Y.
Jenis: Article from Journal
Dalam koleksi: Lupus vol. 4 no. 6 (1995), page 472-476.
Topik: Anticardiolipin Antibodies; Anti Beta2-Glycoprotein I antibodies; antiphospholipid Syndrome
Fulltext: 472.full.pdf (445.28KB)
Isi artikelWe investigated the clinical significance of IgG phospholipid-dependent a2-gnltyic-o&prboetteai;n I (2-&GbPetIa); antibodies in patients with SLE. The study population consisted of 140 patients with SLE. Sera were examined for IgG phospholipid-dependent a2-ntGi-&PbetIa; antibodies by ELISA. IgG phospholipid-dependent a2-ntGi-&PbetIa; antibodies were detected in 21 of 140 patients (15%) and remained positive from 4 to 98 months. Significantly higher incidences of thrombosis, intrauterine fetal loss, thrombocytopenia, patients with antiphospholipid syndrome (APS), prolonged APTT, BFP-STS and hemolytic anemia were found in SLE patients with phospholipid-dependent anti- &2-bGePtaI; antibodies. Moreover, significantly lower incidences of malar rash and serositis were found in SLE patients with phospholipid-dependent a2-ntGi-&PbetIa; antibodies, and the majority of these patients satisfied four or five of the revised criteria items of the American Rheumatism Association. These differences were not observed when we compared clinical manifestations in anticardiolipin antibody-positive patients with those in antibody-negative patients by conventional ELISA. These results indicated that SLE patients with IgG phospholipid-dependent a2-ntGi-&PbetIa; antibodies show an unique form of SLE.
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