ANTINUCLEAR ANTIBODY TESTING IN A REFERRAL LABORATORY

被引:7
作者
BRIDGES, AJ [1 ]
ANDERSON, JD [1 ]
MCKAY, J [1 ]
WANG, G [1 ]
JOHNSON, J [1 ]
SHARP, GC [1 ]
机构
[1] UNIV MISSOURI,MED CTR,SCH MED,DEPT MED,DIV IMMUNOL & RHEUMATOL,ANTINUCL ANTIBODY LAB,COLUMBIA,MO 65201
关键词
D O I
10.1093/labmed/24.6.345
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
Antinuclear antibody (ANA) testing, consisting of the immunofluorescent ANA (FANA) and ANA profile, is an integral part of the evaluation of the patient who is suspected of having connective tissue disease. We reviewed the results of FANA and ANA profile testing from more than 8,000 serum samples to examine the relationships between these tests. Fifty-two percent of referred serum samples had a positive ANA test result and 19% of samples had a positive ANA profile. Nine percent of the serum samples bad a positive ANA profile result despite a negative FANA test result. Although the routine FANA test is considered the ''gold standard'' for sensitive detection of connective tissue disease, screening with an FANA test may not detect diseases associated with anti-SSA/Ro, anti-double-stranded DNA, or anti-extractable nuclear antigen antibodies. Comparison of subgroups of specific antibodies support the validity of autoantibodies as markers for diseases or subgroups of connective tissue disease.
引用
收藏
页码:345 / 349
页数:5
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