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Antinuclear antibodies

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https://www.readbyqxmd.com/read/29037900/autoimmune-comorbidity-in-chronic-spontaneous-urticaria-a-systematic-review
#1
REVIEW
Pavel Kolkhir, Elena Borzova, Clive Grattan, Riccardo Asero, Dmitry Pogorelov, Marcus Maurer
Background and Objective Numerous autoimmune diseases (AIDs) have been linked to chronic spontaneous urticaria (CSU). Here, we provide the first extensive and comprehensive evaluation of the prevalence of AIDs in patients with CSU and vice versa. METHODS: A Pubmed and Google Scholar search was performed to identify studies reporting the prevalence of various AIDs in CSU and vice versa published before April 2017. RESULTS: The prevalence of individual AIDs in CSU is increased (≥1% in most studies vs ≤1% in general population)...
October 13, 2017: Autoimmunity Reviews
https://www.readbyqxmd.com/read/29033427/a-case-of-igg4-related-lung-pseudotumor-and-pleural-inflammation-with-autoimmune-hepatitis
#2
Kazunori Nagashima, Itsuki Sano, Tomoe Kobayashi, Kazunori Eto, Kosuke Nagai, Ryusuke Ninomiya, Akira Suzuki, Yoshihiro Oohata, Kouhei Konishi, Tsuyoshi Nakano, Fumiyasu Yamamoto
A 63-year-old man was admitted to our department following a secondary medical examination. Blood tests showed high levels of liver enzymes, IgG, IgG4, and antinuclear antibody. Computed tomography showed tumors in the bilateral lower lobes of the lungs and pleural thickening. After pleural and liver biopsy procedures, he was conclusively diagnosed with IgG4-related lung pseudotumor and pleural inflammation with autoimmune hepatitis. We started treatment with prednisolone 40 mg/day, and chest X-rays and blood tests showed signs of improvement...
October 16, 2017: Internal Medicine
https://www.readbyqxmd.com/read/29031496/ischemic-stroke-in-a-patient-with-parry-romberg-syndrome
#3
Victoria Ebiana, Sandeep Singh, Shaweta Khosa, Negar Moheb, Bhavesh Trikamji, Neal M Rao, Shri K Mishra
OBJECTIVE: This study aimed to discuss a case of a patient with a known diagnosis of Parry-Romberg syndrome (PRS) presenting with ischemic stroke, the second such reported case. BACKGROUND: PRS is a rare genetic disorder with progressive hemifacial atrophy, which usually presents within the first 2 decades of life. Neurologic manifestations include trigeminal neuralgia with associated deafness, hemifacial pain with associated migraine headaches, seizures, movement disorders, and neuropsychiatric symptoms...
October 11, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29026609/ketosis-prone-diabetes-and-sle-co-presenting-in-an-african-lady-with-previous-gestational-diabetes
#4
S Hussain, S Keat, S V Gelding
We describe the case of an African woman who was diagnosed with ketosis-prone diabetes with diabetes-associated autoantibodies, after being admitted for diabetic ketoacidosis (DKA) precipitated by her first presentation of systemic lupus erythematosus (SLE). She had a seven-year history of recurrent gestational diabetes (GDM) not requiring insulin therapy, with return to normoglycaemia after each pregnancy. This might have suggested that she had now developed type 2 diabetes (T2D). However, the diagnosis of SLE prompted testing for an autoimmune aetiology for the diabetes, and she was found to have a very high titre of GAD antibodies...
2017: Endocrinology, Diabetes & Metabolism Case Reports
https://www.readbyqxmd.com/read/29021301/recent-approaches-to-optimize-laboratory-assessment-of-antinuclear-antibodies
#5
Anne E Tebo
The presence of antinuclear antibodies (ANA) is a hallmark feature of a number of systemic autoimmune rheumatic diseases (SARD) and testing is usually performed as part of the initial diagnostic workup when suspicion of an underlying autoimmune disorder is high. The indirect immunofluorescence antibody (IFA) technique is the preferred method for detecting ANA as it demonstrates binding to specific intracellular structures within the cells resulting in a number of staining patterns that are usually categorized based on the cellular components recognized and the degree of binding reflected by the fluorescent intensity or titer...
October 11, 2017: Clinical and Vaccine Immunology: CVI
https://www.readbyqxmd.com/read/29017177/patients-with-newly-diagnosed-rheumatoid-arthritis-are-at-increased-risk-of-diabetes-mellitus-an-observational-cohort-study
#6
Amir Emamifar, Klaus Levin, Inger Marie Jensen Hansen
AIMS: To reveal the prevalence of Diabetes Mellitus (DM) in patients with newly diagnosed Rheumatoid Arthritis (RA) and evaluate the association between clinical characteristics of RA and DM as well as treatment response in newly diagnosed RA patients with DM. METHODS: Newly diagnosed, adult, RA patients, who were registered in Danish Danbio since 1st January 2010, were included. Patients' demographics, serology results including rheumatoid factor (RF), anti-cyclic citrullinated peptide antibody (anti-CCP) and antinuclear antibody (ANA) as well as disease activity score in 28 joints-C-reactive protein (DAS28-CRP) at the time of diagnosis and after 4 months (±1-2 months) of treatment initiation were extracted from Danbio Registry...
September 28, 2017: Acta Reumatológica Portuguesa
https://www.readbyqxmd.com/read/29016697/antinuclear-antibodies-and-mortality-in-the-national-health-and-nutrition-examination-survey-1999-2004
#7
Gregg E Dinse, Christine G Parks, Clarice R Weinberg, Helen C S Meier, Caroll A Co, Edward K L Chan, Frederick W Miller
OBJECTIVE: Recent studies suggest antinuclear antibodies (ANA) may be related to mortality risk, but evidence is sparse and inconclusive. Thus, we investigated ANA associations with all-cause and cause-specific mortality in U.S. adults. METHODS: Our sample included 3357 adults (ages ≥20 years) from the 1999-2004 National Health and Nutrition Examination Survey with ANA measurements (1:80 dilution) and mortality data through 2011 (median follow-up: 9.4 years). We estimated hazard ratios (HRs) and 95% confidence intervals (CIs) via weighted Cox regression to assess ANA associations with mortality from all causes, cardiovascular disease (CVD), and cancer...
2017: PloS One
https://www.readbyqxmd.com/read/28991941/fever-rash-and-leukopenia-in-a-32-year-old-man-%C3%A2-dx
#8
Robert Gauer, Collin Hu, Lindsey Beaman
A 32-year-old man was admitted to our hospital with fever, chills, malaise, leukopenia, and a rash. About 3 weeks earlier, he'd had oral maxillofacial surgery and started a 10-day course of prophylactic amoxicillin/clavulanic acid. Fifteen days after the surgery, he developed a fever (temperature, 103° F), chills, arthralgia, myalgia, cough, diarrhea, and malaise. He was seen by his physician, who obtained a chest x-ray showing a lingular infiltrate. The physician diagnosed influenza and pneumonia in this patient, and prescribed oseltamivir, azithromycin, and an additional course of amoxicillin/clavulanic acid...
October 2017: Journal of Family Practice
https://www.readbyqxmd.com/read/28990976/orbital-inflammation-as-a-presenting-sign-for-crest-syndrome
#9
Shirin W Hamed-Azzam, David P D'Cruz, David H Verity
A 61-year-old male was referred with a week's history of a painful and swollen left eye. Examination revealed normal visual acuities, left proptosis and global restriction of ocular ductions, and subretinal fluid at the macula. CT imaging confirmed thickening of the posterior scleral coat, with an associated choroidal effusion. Serology revealed positive antinuclear antibodies with a centromere staining pattern; subsequent rheumatology review revealed extensive telangiectasia with digital ulceration in both hands, and a diagnosis of limited cutaneous systemic sclerosis was made...
September 27, 2017: Ophthalmic Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28990859/hematoxylin-bodies-in-pediatric-bone-marrow-aspirates-and-their-utility-in-the-diagnosis-of-systemic-lupus-erythematosus
#10
Min Xu, Karen M Chisholm, Guang Fan, Anne M Stevens, Joe C Rutledge
In our recent case report, the finding of lupus erythematosus (LE) cells in a bone marrow aspirate led to the diagnosis of systemic lupus erythematosus (SLE) and appropriate treatment, although the patient was not clinically suspected to have SLE. To determine whether LE cells are present in the bone marrow aspirates of SLE patients, but overlooked in routine bone marrow morphology review, bone marrow aspirates from 30 pediatric patients (15 with SLE and 15 with other diagnoses) evaluated by rheumatologists were reviewed...
January 1, 2017: Pediatric and Developmental Pathology
https://www.readbyqxmd.com/read/28983650/-eosinophilic-granulomatosis-with-polyangiitis-churg-strauss-syndrome
#11
REVIEW
A Jerrentrup, T Müller, J Mariss, S Dylla
This article presents the case of a patient with dyspnea, a history of poorly controlled asthma, sinonasal polyposis, blood eosinophilia and transient pulmonary infiltrates. The autoantibodies antinuclear antibodies, cytoplasmic anti-neutrophil cytoplasmic antibodies (c-ANCA) and perinuclear anti-neutrophil cytoplasmic antibodies (p-ANCA) were negative. These symptoms are typical for eosinophilic granulomatosis with polyangiitis (EGPA, alternatively known as Churg-Strauss syndrome). The delay between onset and diagnosis in this case was several years...
October 5, 2017: Der Internist
https://www.readbyqxmd.com/read/28980905/clinical-and-epidemiological-differences-between-men-and-women-with-systemic-sclerosis-a-study-in-a-spanish-systemic-sclerosis-cohort-and-literature-review
#12
REVIEW
Mayka Freire, Alberto Rivera, Bernardo Sopeña, Carles Tolosa Vilella, Alfredo Guillén-Del Castillo, Dolores Colunga Argüelles, Jose Luis Callejas Rubio, Manuel Rubio Rivas, Luis Trapiella Martínez, Jose Antonio Todolí Parra, Mónica Rodríguez Carballeira, Nerea Iniesta Arandia, Francisco José García Hernández, María Victoria Egurbide Arberas, Luis Sáez Comet, Jose Antonio Vargas Hitos, Juan José Ríos Blanco, Adela Marín Ballvé, Xavier Pla Salas, Ana Belén Madroñero Vuelta, Manuel Ruiz Muñoz, Vicent Fonollosa Pla, Carmen Pilar Simeón Aznar
OBJECTIVES: The low overall prevalence of systemic sclerosis (SSc) and the low proportion of male patients have resulted in a scarcity of studies assessing sex differences in Ssc patients, and contradictory results have often been show among those studies that have been performed. METHODS: A prospective study was conducted with the Spanish RESCLE register to analyse the influence of gender on survival of SSc patients. RESULTS: In total, 1506 SSc patients (1341 women, 165 men) were recruited from 21 centres...
September 18, 2017: Clinical and Experimental Rheumatology
https://www.readbyqxmd.com/read/28979026/lichen-planus-in-silicosis-patient-with-unusually-high-antinuclear-antibody-titer
#13
Isha Gupta, Manisha Nijhawan, Ram Gulati, Aakanksha Singh
No abstract text is available yet for this article.
September 2017: Indian Journal of Dermatology
https://www.readbyqxmd.com/read/28975961/outcomes-rates-and-predictors-of-transition-of-isolated-raynaud-s-phenomenon-a-systematic-review-and-meta-analysis
#14
Francesca Ingegnoli, Nicola Ughi, Chiara Crotti, Marta Mosca, Chiara Tani
QUESTIONS: Published studies lack clear indicators of risk and predictors of transition from Raynaud's phenomenon (Rp) to connective tissue diseases (CTDs). Therefore, we aimed to study the outcomes, rates and predictors of transition to CTDs in patients with Rp. METHODS: A sensitive search was developed in Medline and Embase. Observational studies reporting incidence and risk factors of transition from Rp to a CTD were analysed by two independent reviewers. The main outcome was the rate of transition to a CTD; the secondary outcome was the evaluation of predictors...
October 4, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/28964798/phenotypic-clusters-predict-outcomes-in-a-longitudinal-interstitial-lung-disease-cohort
#15
Ayodeji Adegunsoye, Justin M Oldham, Jonathan H Chung, Steven M Montner, Cathryn Lee, Leah J Witt, Danielle Stahlbaum, Rene S Bermea, Lena W Chen, Scully Hsu, Aliya N Husain, Imre Noth, Rekha Vij, Mary E Strek, Matthew Churpek
BACKGROUND: The current interstitial lung disease (ILD) classification has overlapping clinical presentations and outcomes. Cluster analysis modeling is a valuable tool in identifying distinct clinical phenotypes in heterogeneous diseases. However, this approach has yet to be implemented in ILD. METHODS: Using cluster analysis, novel ILD phenotypes were identified among subjects from a longitudinal ILD cohort, and outcomes were stratified according to phenotypic clusters compared with subgroups according to current American Thoracic Society/European Respiratory Society ILD classification criteria...
September 28, 2017: Chest
https://www.readbyqxmd.com/read/28963850/antihistone-autoantibodies-in-dobermans-with-hepatitis
#16
H Dyggve, S Meri, T Spillmann, H Jarva, M Speeti
BACKGROUND: Immune system involvement is suggested as an underlying cause for Doberman hepatitis (DH) based on female predisposition, lymphocyte infiltration, abnormal hepatocyte expression of major histocompatibility complex class II antigens, and homozygosity for dog leukocyte antigen DRB1*00601. OBJECTIVE: To measure serum antinuclear antibodies (ANA) and serum antihistone antibodies (AHA) in Dobermans with hepatitis. To determine whether increased serum ANA or serum AHA could be used to support the diagnosis of Doberman hepatitis (DH)...
September 30, 2017: Journal of Veterinary Internal Medicine
https://www.readbyqxmd.com/read/28959129/shiitake-like-dermatitis-due-to-tegafur-gimeracil-oteracil-combination-usage
#17
Hiroyuki Goto, Kazunari Sugita, Shigeto Yanagihara, Osamu Yamamoto
S-1 is a combination drug of tegafur, gimeracil and oteracil potassium that is designed on the basis of 5- fluorouracil. We report here for the first time that S-1 is a causative agent of drug eruption mimicking shiitake dermatitis. A 58-year-old Japanese man presented with pruritic erythemas arranged in a linear fashion. He had been treated with S-1 for esophageal cancer. Although differential diagnosis included shiitake dermatitis and dermatomyositis, he had not eaten raw shiitake mushroom, and he did not have other cutaneous lesion such as Gottron's sign and abnormalities of peripheral blood examination including Jo-1 antibody and antinuclear antibody...
September 2017: Yonago Acta Medica
https://www.readbyqxmd.com/read/28953009/borrelia-lymphocytoma-mimicking-butterfly-rash-in-a-pediatric-patient
#18
Mar Llamas-Velasco, Bruno Emilio Paredes
A 5-year-old girl presented with a facial butterfly rash that persisted for 5 months without arthralgia, fever, malaise, photosensitivity, or other symptoms. Lupus erythematosus was clinically suspected. All blood tests were negative or within normal values. Skin biopsy showed a dense nodular superficial and deep inflammatory infiltrate of lymphocytes that reaches subcutaneous tissue. The most striking histopathological finding was plasma cells with some perifollicular accentuation. Borrelia polymerase chain reaction assay of the tissue was positive, and we made the diagnoses of borrelia lymphocytoma mimicking butterfly rash of lupus erythematosus...
September 20, 2017: American Journal of Dermatopathology
https://www.readbyqxmd.com/read/28950993/validation-of-the-systemic-lupus-international-collaborating-clinics-classification-criteria-in-a-cohort-of-patients-with-full-house-glomerular-deposits
#19
Emilie C Rijnink, Y K Onno Teng, Tineke Kraaij, Olaf M Dekkers, Jan A Bruijn, Ingeborg M Bajema
In 2012, the Systemic Lupus International Collaborating Clinics (SLICC) presented a new classification for systemic lupus erythematosus (SLE). In this classification, biopsy-confirmed lupus nephritis with positive antinuclear or anti-double-stranded DNA antibodies became a stand-alone criterion. Because of the unknown diagnostic performance among patients from nephrology clinics, we aimed to test the validity of the SLICC classification, compared with the American College of Rheumatology classification, in a cohort of patients whose renal biopsies would raise the clinicopathologic suspicion of lupus nephritis...
September 23, 2017: Kidney International
https://www.readbyqxmd.com/read/28940615/satoyoshi-syndrome-a-case-report-from-india
#20
Venkatraman Mani, Renu George
Satoyoshi syndrome was first reported in Japan in 1967. It is a rare multisystem disorder of presumed autoimmune etiology that is characterized by alopecia, intermittent painful muscle spasms, diarrhea, and antinuclear antibody positivity. We report an 11-year-old girl with Satoyoshi syndrome who presented to the dermatology department for treatment of alopecia universalis. We present this case to emphasize the importance of recognizing Satoyoshi syndrome, which could go unnoticed if not suspected.
September 22, 2017: Pediatric Dermatology
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