[Clinical associations of anti-Jo1 antibodies in a Moroccan population].

Fatima-Ezzohra Eddehbi, Abdelmouine Salami, Fayssal Idam, Raja Hazime, Brahim Admou
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Abstract

Anti-Jo1 antibodies are usually known markers of myositis. However, they can be associated with different pathologies. We aimed to determine the immuno-clinical characteristics of patients with positive anti-Jo1. We enrolled 31 anti-Jo1 positive patients, selected from 10429 cases tested for antinuclear antibodies (ANA) by indirect immunofluorescence. The anti-Jo1 identification was motivated by the ANA pattern or the clinical data of patients. The average age of patients was 36.9 ± 10 years (F/M sex ratio: 3.4). The overall prevalence of anti-Jo1 was 0.3% among all ANA-tested cases. The ANA pattern associated with the presence of anti-Jo1 was heterogeneous with ANA negative in 38.7 % of cases. They were associated with different autoantibody specificities in 64.5 % of cases and were alone in 35.5% of cases. When confronted with clinical data, anti-Jo1 positivity was associated with autoimmune (77,4%) and non-autoimmune (22,6%) clinical conditions. Our study shows a low overall prevalence of anti-Jo1. These antibodies must be systematically tested for in the context of myositis even if ANA is negative. Nevertheless, their positivity in other systemic or even non-autoimmune diseases requires further studies to better understand their clinical significance.

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[摩洛哥人群中抗jo1抗体的临床关联]。
抗jo1抗体通常是已知的肌炎标志物。然而,它们可能与不同的病理有关。我们的目的是确定抗jo1阳性患者的免疫临床特征。我们从10429例采用间接免疫荧光法检测抗核抗体(ANA)的患者中选出31例抗jo1阳性患者。抗jo1鉴定的动机是ANA模式或患者的临床资料。患者平均年龄36.9±10岁(男女性别比3.4)。在所有ana检测病例中,抗jo1的总体患病率为0.3%。与抗jo1存在相关的ANA模式具有异质性,38.7%的病例为ANA阴性。在64.5%的病例中,它们与不同的自身抗体特异性相关,在35.5%的病例中单独存在。当面对临床数据时,抗jo1阳性与自身免疫性(77,4%)和非自身免疫性(22,6%)临床状况相关。我们的研究显示抗jo1的总体患病率较低。这些抗体必须在肌炎的情况下进行系统的测试,即使ANA是阴性的。然而,其在其他全身性甚至非自身免疫性疾病中的阳性需要进一步研究以更好地了解其临床意义。
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