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自身抗体阴性类风湿关节炎的临床及实验室特点
引用本文:孙婷,陈俊伟,张少然,王鑫博,杜勇,吕志勤,李小峰.自身抗体阴性类风湿关节炎的临床及实验室特点[J].中华临床免疫和变态反应杂志,2010(1):33-35.
作者姓名:孙婷  陈俊伟  张少然  王鑫博  杜勇  吕志勤  李小峰
作者单位:山西医科大学第二医院风湿科,太原030001
摘    要:目的探讨自身抗体阴性类风湿关节炎(rheumatoid arthritis,RA)患者的临床及实验室特点。方法分析11例自身抗体阴性RA患者的临床和实验室特点并监测其自身抗体的变化。结果自身抗体阴性RA患者在全部RA中占6.1%,3个月后有27.3%的自身抗体阴性RA患者的自身抗体转为阳性,6个月后有45.5%的自身抗体阴性RA患者的自身抗体转为阳性。结论自身抗体阴性RA患者较为常见,短期内部分患者的自身抗体可转为阳性,临床上应密切监测RA患者的自身抗体变化。

关 键 词:关节炎  类风湿  自身抗体

Clinical and Laboratory Features of Rheumatoid Arthritis with Negative Serum Autoantibodies
SUN Ting,CHEN Jun-wei,ZHANG Shao-ran,WANG Xin-bo,DU Yong,LV Zhi-qin,LI Xiao-feng.Clinical and Laboratory Features of Rheumatoid Arthritis with Negative Serum Autoantibodies[J].Chinese Journal of Allergy and Clinical Immunology,2010(1):33-35.
Authors:SUN Ting  CHEN Jun-wei  ZHANG Shao-ran  WANG Xin-bo  DU Yong  LV Zhi-qin  LI Xiao-feng
Institution:# (Department of Rheumatology and Immunology, Second Hospital of Shanxi Medical University, Taiyuan 030001, China)
Abstract:Objective To investigate the clin ical and laboratory features of rheumatoid arthritis with negative serum autoantibodies. Methods The clinical and laboratory features of the 11 patients who had negative serum autoantibodies were analyzed and the change of autoantibodies were monitored. Results 6.1% RA in all the RA patients were serum negative for autoantibodies. After 3 months, 27.3% patients who were auto-antibody-negative became auto-antibody-positive. After 6 months, 45.5% patiens became auto-antibody-positive. Conclusions Auto-antibody-negative RA is common, but part of them can change to auto-antibody-positive in a short period of time, we should monitor the change of autoantibodies.
Keywords:arthritis  rheumatoid  autoantibody
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