检验医学 ›› 2013, Vol. 28 ›› Issue (2): 120-123.DOI: 10.3969/j.issn.1673-8640.2013.02.008

• 临床应用研究.论著 • 上一篇    下一篇

抗细胞浆型自身抗体的临床意义初步探讨

李琳芸   

  1. 华中科技大学同济医学院附属荆州医院检验科,湖北 荆州 434020
  • 收稿日期:2012-01-19 修回日期:2012-03-16 出版日期:2013-02-28 发布日期:2013-01-28
  • 作者简介:李琳芸,女,1980年生,硕士,主管技师,主要从事自身免疫性疾病和流式细胞术检测工作。

Preliminary investigation on the clinical significance of anticytoplasmic autoantibodies

  1. Department of Clinical Laboratory,Jingzhou Hospital,Tongji Medical College,Huazhong University of Science and Technology,Hubei Jingzhou 434020,China
  • Received:2012-01-19 Revised:2012-03-16 Online:2013-02-28 Published:2013-01-28

摘要: 目的 研究抗细胞浆型自身抗体的临床意义。 方法 回顾性总结164例抗细胞浆型自身抗体阳性患者的临床资料。 结果 164例抗细胞浆型自身抗体阳性病例中,14例(9%)为胞浆纤维型,150例(91%)为胞浆颗粒型。79例(48%)为抗细胞浆型自身抗体单阳性,其中9例检测出特异性抗体;85例(52%)为合并抗细胞核型自身抗体阳性,其中53例检测出特异性抗体,2组特异性抗体检出率差异有统计学意义(P<0.01)。99例(60%)为自身免疫性疾病,其中68例为抗细胞浆型自身抗体合并抗细胞核型自身抗体阳性;65例(40%)为非自身免疫性疾病,其中48例抗细胞浆型自身抗体单阳性,两者自身抗体组成差异有统计学意义(P<0.01)。 结论 抗细胞浆型自身抗体对应的特异性抗体检出率低,可能为常规抗体谱以外的其他抗体。抗细胞浆型自身抗体在自身免疫性疾病及非自身免疫性疾病中均能出现,自身免疫性疾病中抗细胞浆型自身抗体多与抗细胞核型自身抗体同时出现。

关键词: 抗细胞浆型自身抗体, 抗细胞核型自身抗体, 自身免疫性疾病

Abstract: Objective To investigate the clinical significance of anticytoplasmic autoantibodies. Methods A total of 164 patients with anticytoplasmic autoantibody positive were retrospected.   Results In the 164 cases with anticytoplasmic autoantibody positive,14 cases(9%)were fibrillar pattern,and 150 cases(91%)were speckled pattern. Anticytoplasmic autoantibodies were singly positive in 79 cases(48%),and the specific antibodies were detected in 9 cases. Anticytoplasmic and antinuclear autoantibodies were both positive in 85 cases(52%),and the specific antibodies were detected in 53 cases. Statistical significance existed between the detection rates of the specific antibodies in the 2 groups(P<0.01). A total of 99 cases(60%) were diagnosed as autoimmune diseases,in which 68 cases were positive with both anticytoplasmic and antinuclear autoantibodies. A total of 65 cases(40%)were diagnosed as non-autoimmune diseases,in which 48 cases were singly positive with anticytoplasmic autoantibodies. The composition of the autoantibodies in the 2 groups was statistically significant(P<0.01). Conclusions The detection rate of the specific antibodies in anticytoplasmic autoantibodies is low. The specific antibodies of anticytoplasmic autoantibodies might beyond the ordinary autoantibodies. Anticytoplasmic autoantibodies could be detected both in autoimmune and non-autoimmune diseases. In autoimmune diseases,anticytoplasmic autoantibodies usually appear with antinuclear autoantibodies.

Key words: Anticytoplasmic autoantibody, Antinuclear autoantibody, Autoimmune disease