HLA-B27作为慢性腰痛的诊断筛查工具。

J. Sandström, Andersson Gb, L. Rydberg
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引用次数: 6

摘要

在52名慢性腰痛患者中,45名在接受康复治疗一年后进行了HLA-B27抗原筛查。6例(13.3%)呈阳性,再次x线检查时,2例有强直性脊柱炎的症状。抗原阳性个体的比例与瑞典健康献血者的人口研究中发现的比例相似,并且在其他健康对照人群的范围内。结论:HLA-B27在慢性腰痛患者组中作为强直性脊柱炎筛查试验的诊断价值有限。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HLA-B27 as a diagnostic screening tool in chronic low back pain.
Forty-five of 52 consecutive patients with chronic low back pain were screened for presence of HLA-B27 antigen one year after they were included in a rehabilitative program. Six (13.3%) were positive and, when re-examined radiographically, 2 had signs of ankylosing spondylitis. The proportion of antigen-positive individuals is similar to that found in a population study of healthy Swedish blood donors, and within the range of other populations of healthy controls. It is concluded that HLA-B27 is of limited diagnostic value as a screening test for ankylosing spondylitis in a patient group with chronic low back pain.
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