Granulocyte specific antinuclear antibodies in ulcerative colitis. Aid in differential diagnosis of inflammatory bowel disease.

H Nielsen, A Wiik, J Elmgreen
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Abstract

40 patients with ulcerative colitis (UC) and 35 patients with Crohn's disease (CD) were studied for the occurrence of granulocyte specific (GS-) antinuclear antibodies (ANA) and organ-non-specific (ON-) ANA. The predominant immunoglobulin class of GS-ANA in UC was IgG, present in 25% of the patients, but only in 3% of the patients with CD (p less than 0.02). ON-ANA were are in both groups and did not allow discrimination between these. Both GS-ANA and ON-ANA lacked complement-fixing properties. No relation was found between the types or titres of IgG ANA and sex, age, duration, disease activity or localization in the two groups of patients. The significance of our serologic observations in relation to these disease parameters has to be determined n larger prospective studies.

溃疡性结肠炎中粒细胞特异性抗核抗体的研究。有助于炎性肠病的鉴别诊断。
对40例溃疡性结肠炎(UC)患者和35例克罗恩病(CD)患者进行了粒细胞特异性(GS-)抗核抗体(ANA)和器官非特异性(ON-) ANA的检测。UC中GS-ANA的主要免疫球蛋白类别是IgG,在25%的患者中存在,但仅在3%的CD患者中存在(p < 0.02)。ON-ANA在两组中都有,并且不允许在这两组之间进行区分。GS-ANA和ON-ANA都缺乏补体固定特性。两组患者IgG抗体的类型和滴度与性别、年龄、病程、疾病活动度和部位无相关性。我们的血清学观察与这些疾病参数的关系的意义必须在更大的前瞻性研究中确定。
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