Diagnostic value of Dsg1 ELISA for pemphigus foliaceus: an appraisal

V. Wiwanitkit
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Abstract

Pemphigus foliaceus, a dermatological immune disorder, usually presents with cutaneous blistering. Of the several diagnostic tools, enzyme-linked immunosorbent assay (ELISA) against desmoglein (Dsg) 1 is widely used. The diagnostic value of Dsg1 ELISA test was previously studied by others and gave differences in diagnostic power. In addition, most reports focused on small sample sizes. Therefore, a systematic meta-analysis was conducted to assess the diagnostic property of this test. In this paper, the author summarized the diagnostic value of Dsg1 ELISA for pemphigus foliaceus. In the literature, there are 4 published papers [1 – 4] on 232 cases and 446 controls (Table 1). The overall sensitivity and specificity are equal to 95.3 and 96.4 respectively. This supports the diagnostic usefulness of Dsg1 ELISA for diagnosing pemphigus foliaceus. Figure 1 Table 1. Reports on diagnostic value of Dsg1 ELISA for pemphigus folliculus
Dsg1 ELISA对叶状天疱疮的诊断价值评价
叶状天疱疮是一种皮肤免疫疾病,通常表现为皮肤起泡。在几种诊断工具中,针对粘粒蛋白(Dsg) 1的酶联免疫吸附试验(ELISA)被广泛使用。前人对Dsg1 ELISA检测的诊断价值进行了研究,并给出了不同的诊断能力。此外,大多数报告集中在小样本量上。因此,进行了系统的荟萃分析来评估该测试的诊断特性。本文就Dsg1酶联免疫吸附试验对叶状天疱疮的诊断价值进行综述。文献中,已发表论文4篇[1 - 4],涉及232例病例和446例对照(表1),总体敏感性为95.3,特异度为96.4。这支持Dsg1 ELISA诊断叶状天疱疮的诊断有效性。图1表1Dsg1 ELISA对天疱疮毛囊的诊断价值报告
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