[Clinical significance of anti-phosphatidylserine-prothrombin complex antibodies in the diagnosis of anti-phospholipid syndrome].

Junichi Kaburaki, Masataka Kuwana, Yasuo Ikeda
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Abstract

In this study, we clarified the clinical significance of IgG anti-phosphatidylserine-prothrombin complex (PS-PT) antibodies in the diagnosis of antiphospholipid syndrome (APS). The study population consisted of 113 patients with SLE and lupus-like disease. IgG anti-PS-PT antibodies were examined by ELISA. These antibodies were detected in 31% of the population, and were significantly associated with thrombosis and fetal loss. The frequency was significantly higher in patients who did not satisfy the Sapporo criteria, but met the Harris and Hughes diagnostic criteria (36%) than in non-APS patients (14%). The above findings suggest that IgG anti-PS-PT antibodies should be listed in the diagnostic criteria for APS.

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【抗磷脂酰丝氨酸-凝血酶原复合物抗体在抗磷脂综合征诊断中的临床意义】。
本研究明确IgG抗磷脂酰丝氨酸-凝血酶原复合物(PS-PT)抗体在抗磷脂综合征(APS)诊断中的临床意义。研究人群包括113例SLE和狼疮样疾病患者。ELISA法检测抗ps - pt抗体IgG。这些抗体在31%的人群中检测到,并且与血栓形成和胎儿丢失显著相关。不符合Sapporo标准但符合Harris和Hughes诊断标准的患者(36%)的发生率明显高于非aps患者(14%)。以上结果提示,应将抗ps - pt抗体IgG列入APS的诊断标准。
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