OTOİMMÜN ROMATOİD HASTALIKLARDA OTOANTİKORLAR

Nuray GÜREL-POLAT
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Abstract

The diagnosis of autoimmune rheumatoid diseases can be made by combining parameters consisting of clinical, histopathological, laboratory and immunological tests. Among these parameters, autoantibodies are of great benefit in differential diagnosis, especially for patients with unclear clinical data. Immunofluorescence, ELISA, immunodiffusion, immunoprecipitation and Western blot can be used to identify autoantibodies. While autoantibodies like antinukleer antibody, double stranded deoksiribonukleic asid and anti neutrophils antibody are detected by immunofluorescence as a golden standard test, Anti-cyclic Citrullinated Peptide Antibody (CCP), antiphospholipid antibodies (anti-cardiolipid) are evaluated by ELISA and ENA group by immunoblot or western blot. Today the number of autoantibodies that can be detected is over 100. The indication of some of these autoantibodies are not known even today. The definition of antinuclear antibody group autoantibodies plays a crucial role for the diagnosis and treatment of systemic and organ-specific illnesses. With these methods, practical, fast and trustworthy results in clinical medicine and clinical immunology can be obtained.
自身免疫性类风湿性疾病的诊断可通过综合临床、组织病理学、实验室和免疫学检查等参数进行。在这些参数中,自身抗体对鉴别诊断有很大的好处,特别是对临床资料不明确的患者。免疫荧光法、ELISA法、免疫扩散法、免疫沉淀法和Western blot法均可用于自身抗体的鉴定。免疫荧光法检测自身抗体,如抗核糖体抗体、双链deoksiribonukleic asic和抗中性粒细胞抗体为金标准,抗环瓜氨酸肽抗体(anti- cyclic Citrullinated Peptide antibody, CCP)、抗磷脂抗体(抗心脂)采用ELISA法检测,ENA组采用免疫印迹或western印迹法检测。今天可以检测到的自身抗体超过100种。其中一些自身抗体的适应症至今仍不清楚。抗核抗体组自身抗体的定义对全身性和器官特异性疾病的诊断和治疗起着至关重要的作用。应用这些方法可在临床医学和临床免疫学中获得实用、快速、可靠的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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