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Antinöytrofile cytoplasmaautoantistoffer ved systemiske vaskulitter
Engelsk titel: Antineutrophil cytoplasmic autoantibodies in systemic vasculitis Läs online Författare: Hagemo JS ; Aasaröd K ; Moen T Språk: Nor Antal referenser: 34 Dokumenttyp: Artikel UI-nummer: 02071682

Tidskrift

Tidsskrift for Den Norske Laegeforening 2002;122(12)1185-8 ISSN 0029-2001 E-ISSN 0807-7096 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

INTERPRETATION : We recommend that immunofluorescence is used for screening when an ANCA-associated vasculitis is suspected. However, a number of antigen specificities can provide the immunofluorescence patterns, and for this reason we recommend PR3-ELISA and MPO-ELISA tests whenever the immunofluorescence test is positive. RESULTS : The diagnostic sensitivity for Wegener's granulomatosis was 70% for C-ANCA and 63% for PR3-ANCA. The specificity was 97% and 99% respectively. Positive predictive value for the diagnosis of Wegener's granulomatosis in our population was 68% for C-ANCA and 90% for PR3-ANCA. Negative predictive value was 97% and 97% respectively. MATERIAL AND METHODS : In this study, samples from 319 patients tested by both immunofluorescence and ELISA were evaluated; 27 of these were diagnosed with Wegener's granulomatosis. BACKGROUND : Antineutrophil cytoplasmic autoantibodies (ANCA) are directed against antigens located in the cytoplasm of neutrophil granulocytes and monocytes. Detection of ANCA has proved to be a useful diagnostic tool for a group of systemic vasculitis, especially Wegener's granulomatosis. Both indirect immunofluorescence (IIF) and ELISA have been used to detect ANCA.