文章摘要
陈雅硕李博余凤嫦叶志中△ 黄进贤孔卫红何伟珍.核周型抗中性粒细胞胞浆抗体在狼疮性肾炎中的临床意义[J].,2012,12(24):4670-4672
核周型抗中性粒细胞胞浆抗体在狼疮性肾炎中的临床意义
Clinical Significance of Serum Perinuclear Antineutrophil CytoplasmicAntibodies in Lupus Nephritis
  
DOI:
中文关键词: 抗中性粒细胞胞浆抗体  狼疮性肾炎  酶联免疫吸附分析
英文关键词: Antineutrophil cytoplasmic antibodies  Lupus nephritis  Emzyme-linked immunosorbent assay
基金项目:国家" 十一·五" 科技支撑计划项目(2008BAI59B02);深圳医学重点学科建设资助项目(2005C10)
作者单位
陈雅硕李博余凤嫦叶志中△ 黄进贤孔卫红何伟珍 深圳市第四人民医院香蜜湖风湿病分院广东医学院深圳风湿病研究所 
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中文摘要:
      目的:探讨核周型抗中性粒细胞胞浆抗体(P-ANCA)在狼疮性肾炎(LN)中的临床意义。方法:应用酶联免疫吸附分析 (ELISA)的方法,检测92 例LN 患者血清中的P-ANCA 及其他自身抗体的水平,并进一步分析P-ANCA 与LN 的临床表现以及 辅助检查结果之间的关系。结果:P-ANCA 在LN 中的阳性率是21.8 %(20/92),P-ANCA 阳性组LN 患者合并颧部红斑、皮肤血管 炎、贫血以及补体C3 偏低的频率均显著高于P-ANCA 阴性组LN 患者(P<0.05)。结论:P-ANCA 在LN 中的阳性率为21.8 %,且 P-ANCA 与SLE 特定的临床表现相关,提示P-ANCA 可能参与了LN 的发病过程。
英文摘要:
      Objective: To elucidate the clinical significance of serum perinuclear antineutrophil cytoplasmic antibodies (P-ANCA) in patients with lupus nephritis (LN). Methods: P-ANCA was detected in serum samples obtained from 92 patients with LN by emzyme-linked immunosorbent assay (ELISA). The relationship between P-ANCA and clinical manifestations and other autoantibodies were analyzed. Results: P-ANCA positive was detected in 21.8 % (20/92) patients. The prevalence of malar rash, cutaneous small vasculitis, central nervous system involved, anemia and hypocomplementemia were all significantly higher in P-ANCA-positive patients than P-ANCA-negative patients (P<0.05). Conclusions: The prevalence of P-ANCA was 21.8 % in LN and its presence was correlated with particular clinical manifestations, indicating that P-ANCA may play a pathogenetic role in LN.
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