Autoantibodies and their associated diseases Flashcards
Rheumatoid factor
RA 85% spec and sen
5% normal population and incidence increases with age
Anti- CCP (cyclic citrullinated protein)
RA 95% specific, 65% sen
ANA
CTD
97% SLE
Does not change with disease activity
5% normal population
dsDNA
SLE - increases with disease activity
Anti - Ro and La
Sjorgrens disease
Anti-Sm
SLE (not all pts)
Anti- histone
Drug induced lupus
Ansi-Scl-70
Diffuse systemic sclerosis
Anti-centromere
Limited systemic sclerosis - CREST
Anti-Jo-1
Interstitial lung disease in polymyositis
Anti-cardiolipin antibodies
Anti phospholipid syndrome (checked alongside lupus anti-coagulant)
ANCA anti neutrophil cytoplasmic antibodies
Vasculitis (not specific)
c-ANCA Wegners
p-ANCA polyarteritis
anti-GBM
Goodpastures
cANCA
granulomatosis with polyangiitis (Wegener’s granulomatosis)
pANCA
- associated with immune crescentic glomerulonephritis (positive in c. 80% of patients)
- microscopic polyangiitis, positive in 50-75%
- Churg-Strauss syndrome, positive in 60%
- primary sclerosing cholangitis, positive in 60-80%
- granulomatosis with polyangiitis