diagnostics and new biomarkers Flashcards
most popular test for CTD
ANA
anti-cardiolipin is for
APS
tests for vasculitis
MPO, Anti PR3, GBM
22 y/o F pain in DIP in both hands what would you request
consider RA, test for Anti CCP
it is an IgM antibody against Fc receptor of IgG
RF
confirmatory test for vasculitis
ELISA to confirm what type of ANCA (cytoplasmic or peritoneal)
P-ANCA is equivalent to
MPO (myeloperoxidase Antibodies)
C-ANCA is equivalent to
proteinase 3
patter in MPO
perinuclear
pattern in PR3
cytoplasmic pattern
px tested positive for both c-ANCA and p-ANCA what would be your diagnosis
Wegener’s Granulomatosis
in 20-30% of cases PAN is associated with
Hep B Ag
what are the 6 IFA basic patterns
homogenous speckled nucleolar centromere cytoplasmic negative
there are 2 types of centromere autoantibodies and both are related to
CREST syndrome
most homogenous patterns are secondary to
SLE
presence of rim like fluorescence in the periphery then it is sure that the antibody is secondary to
anti-dsDNA
specific marker for systemic sclerosis/scleroderma
Scl 70
in this pattern, there is uniform discrete speckles throughout the nucleus (40-60)
+ MIT
centromere
net like mitosis
clumpy nuclear pattern
this pattern shows small discrete grains in the center of nucleoli
-dots in mitosis
punctuate nuclear pattern
nucleolar pattern
scleroderma
fine speckled pattern
sjorgen’s syndrome
centromeric
CREST