血清抗核抗体与神经髓炎光学谱系障碍的严重疾病活动有关
Rui Wang1, Dong Ren Sun1, Qin Du1
1Department of Neurology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Journal of neuroimmunology
|July 15, 2023
概括
抗核抗体 (ANA) 与神经omyelitis optica光谱障碍 (NMOSD) 患者的疾病严重程度和残疾增加有关. 这项研究发现ANA阳性NMOSD患者经历了更严重的发作和更大的残疾.
科学领域:
- 神经学 神经学
- 免疫学 免疫学 免疫学
- 自免疫性疾病 自免疫性疾病
背景情况:
- 神经omyelitis optica光谱障碍 (NMOSD) 是一种罕见的自身免疫性疾病,影响中枢神经系统.
- 已建议抗核抗体 (ANA) 与NMOSD的疾病预后相关.
研究的目的:
- 调查中国NMOSD患者中ANAs的流行率.
- 确定在NMOSD中ANA状态和临床结果之间的关系.
主要方法:
- 在2009年至2021年期间诊断出525名NMOSD患者的回顾性分析.
- 在ANA阳性和ANA阴性组之间比较临床特征,复发率,发作严重程度,残疾分数 (EDSS) 和预后.
主要成果:
- 阳性NAA的NMOSD患者显示AQP4-IgG,抗SSA,抗SSB和抗Ro52抗体的频率较高.
- 在急性阶段和随访期间,ANA阳性患者的EDSS得分更高.
- 较大比例的ANA阳性患者经历了严重的骨髓炎和视神经炎发作,导致运动和视力障碍增加.
结论:
- 在NMOSD中的ANA阳性与更严重的疾病活动有关.
- ANA状态可以作为预测NMOSD患者疾病严重程度和残疾的生物标志物.
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