Clinical and laboratory relationships in patients with different variants of the course of systemic lupus erythematosus

Systemic lupus erythematosus (SLE) is characterized by a variability in clinical manifestations and laboratory abnormalities, which creates objective diagnostic difficulties.Objective: to investigate clinical and laboratory parameters in patients with definite and probable SLE.Patients and methods....

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Main Author: V. A. Lila
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2020-03-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/989
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author V. A. Lila
author_facet V. A. Lila
author_sort V. A. Lila
collection DOAJ
description Systemic lupus erythematosus (SLE) is characterized by a variability in clinical manifestations and laboratory abnormalities, which creates objective diagnostic difficulties.Objective: to investigate clinical and laboratory parameters in patients with definite and probable SLE.Patients and methods. The investigation enrolled 94 patients, 38 of whom were diagnosed with probable SLE. All the patients underwent immunological examination and unaffected skin biopsies, followed by an immunohistochemical study, the so-called lupus strip test (LST).Results and discussion. The group of patients with definite SLE showed a direct correlation between positive LST and disease activity (r=0.6), acute skin lesion (r=0.42), and elevated anti-double-stranded DNA antibody concentrations (r=0.37), and their inverse correlation with dry syndrome (r=-0.44). In patients with probable SLE, deposition of immunoreactants in the unaffected skin was detected in almost half of the cases, despite lower disease activity and specific antibody deficiency. Thus, LST that is quite easy to use and interpret its results can be used as an additional criterion for the differential diagnosis of SLE, especially in its early stages.
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spelling doaj.art-3d806e714a194d43b77e58e5d955c05a2023-03-13T08:39:27ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2020-03-01141263110.14412/1996-7012-2020-1-26-312232Clinical and laboratory relationships in patients with different variants of the course of systemic lupus erythematosusV. A. Lila0ФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» Минздрава РоссииSystemic lupus erythematosus (SLE) is characterized by a variability in clinical manifestations and laboratory abnormalities, which creates objective diagnostic difficulties.Objective: to investigate clinical and laboratory parameters in patients with definite and probable SLE.Patients and methods. The investigation enrolled 94 patients, 38 of whom were diagnosed with probable SLE. All the patients underwent immunological examination and unaffected skin biopsies, followed by an immunohistochemical study, the so-called lupus strip test (LST).Results and discussion. The group of patients with definite SLE showed a direct correlation between positive LST and disease activity (r=0.6), acute skin lesion (r=0.42), and elevated anti-double-stranded DNA antibody concentrations (r=0.37), and their inverse correlation with dry syndrome (r=-0.44). In patients with probable SLE, deposition of immunoreactants in the unaffected skin was detected in almost half of the cases, despite lower disease activity and specific antibody deficiency. Thus, LST that is quite easy to use and interpret its results can be used as an additional criterion for the differential diagnosis of SLE, especially in its early stages.https://mrj.ima-press.net/mrj/article/view/989системная красная волчанкавероятная системная красная волчанкатест волчаночной полоски
spellingShingle V. A. Lila
Clinical and laboratory relationships in patients with different variants of the course of systemic lupus erythematosus
Современная ревматология
системная красная волчанка
вероятная системная красная волчанка
тест волчаночной полоски
title Clinical and laboratory relationships in patients with different variants of the course of systemic lupus erythematosus
title_full Clinical and laboratory relationships in patients with different variants of the course of systemic lupus erythematosus
title_fullStr Clinical and laboratory relationships in patients with different variants of the course of systemic lupus erythematosus
title_full_unstemmed Clinical and laboratory relationships in patients with different variants of the course of systemic lupus erythematosus
title_short Clinical and laboratory relationships in patients with different variants of the course of systemic lupus erythematosus
title_sort clinical and laboratory relationships in patients with different variants of the course of systemic lupus erythematosus
topic системная красная волчанка
вероятная системная красная волчанка
тест волчаночной полоски
url https://mrj.ima-press.net/mrj/article/view/989
work_keys_str_mv AT valila clinicalandlaboratoryrelationshipsinpatientswithdifferentvariantsofthecourseofsystemiclupuserythematosus