Intrathecal immunoglobulin production in patients with systemic lupus erythematosus with neuropsychiatric manifestations
Intrathecal immunoglobulin production in patients with systemic lupus erythematosus with neuropsychiatric manifestations
复制标题
具有神经精神表现的系统性红斑狼疮患者鞘内免疫球蛋白的产生
DOI:
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发表时间:
2007
影响因子:
27.4
通讯作者:
C. Sing Lau
中科院分区:
文献类型:
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作者:
Mo Yin Mok;E. Chan;Woon Sing Wong;C. Sing Lau
Neuropsychiatric manifestations have been reported in 30–60% of patients with systemic lupus erythematosus (SLE), with variable IgG synthesis in cerebrospinal fluid (CSF).1 In this study, we sought to examine intrathecal IgG synthesis measured qualitatively as the IgG index,2 calculated using the formula
(IgG CSF/IgG serum)/(albumin CSF/albumin serum),
and quantitatively as oligoclonal bands (OCBs) by isoelectric focusing (IEF)3 in patients with SLE with various neurological presentations, and to determine the cut-off of the IgG index for the detection of these pathological IgG.
CSF results were retrieved from a database of 2902 samples using the keywords “SLE” or “lupus”. Only the first CSF sample taken before treatment for each neurological episode in each patient was analysed. Samples from …