Combined elevation of IgM and IgA rheumatoid factor has high diagnostic specificity for rheumatoid arthritis

Combined elevation of IgM and IgA rheumatoid factor has high diagnostic specificity for rheumatoid arthritis
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DOI:
10.1007/s002960050069
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发表时间:
1998-10-01
影响因子:
4
通讯作者:
Valdimarsson, H
Valdimarsson, H
中科院分区:
医学3区
文献类型:
--
作者:
Jonsson, T;Steinsson, K;Valdimarsson, H

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比较了凝集法和同种型特异性酶联免疫吸附试验(ELISA)检测类风湿因子(RF)的诊断价值。该研究包括70例类风湿性关节炎(RA)患者和205例各种其他风湿性疾病患者。在RA患者中,74%的RF阳性凝集和90%的一个或多个RF同种型升高ELISA相比,14%和22%,分别为其他患者。值得注意的是,70%的RF阳性RA患者有两种或两种以上的RF同种型升高,而其他RE阳性患者只有16%(P
The diagnostic value of measuring rheumatoid factor (RF) by agglutination or isotype-specific enzyme-linked immunosorbent assay (ELISA) was compared. The study included 70 patients with rheumatoid arthritis (RA) and 205 patients with various other rheumatic conditions. Of the RA patients, 74% were RF-positive by agglutination and 90% had one or more RF isotypes elevated by ELISA compared to 14% and 22%, respectively, of the other patients. Strikingly, 70% of the RF-positive RA patients had an elevation of two or more RF isotypes compared to only 16% of the other RE-positive patients (P