Antiperinuclear factor in psoriatic arthropathy - 07/09/11
Abstract |
Background: Antiperinuclear factor (APF) is an autoantibody directed against (pro)-filaggrin molecules. Objective: We evaluated whether APF determination is useful for the diagnosis of psoriatic arthritis (PA). Methods: We determined APF titers in sera from patients with PA (n = 76), psoriasis vulgaris (n = 38), noninflammatory rheumatic diseases (NIRDs, n = 119), rheumatoid arthritis (RA, n = 159) both with negative (n = 36) and positive (n = 123) rheumatoid factor (RF) tests, as well as from 204 healthy controls. We used an indirect immunofluorescence test on epithelial cells from human buccal mucosa as a substrate. Results: In patients with PA, 7.9% of the serum samples were APF-positive. The incidence was greater than in healthy controls (1.0%; P < .01), similar to those with uncomplicated psoriasis (2.6%; P = NS) and NIRDs (4.0%; P = NS), and lower than in RF-negative (52.7%; P < .001) and RF-positive (90.2%; P < .001) patients with RA. Three APF-positive patients with PA had symmetric joint involvement and 3 had pustulotic arthroosteitis. Conclusion: The APF test may be useful in differentiating PA from RA, and APF may be specific for two PA subgroups.(J Am Acad Dermatol 1999;40:910-3.)
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Reprint requests: Piergiacomo Calzavara-Pinton, Dermatology Department, Brescia University Hospital, P. le Spedali Civili 1, 25123 Brescia, Italy. |
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0190-9622/99/$8.00 + 0 16/1/96587 |
Vol 40 - N° 6
P. 910-913 - juin 1999 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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