为什么ANA结果是阳性的?

Bulletin on the rheumatic diseases Pub Date : 1999-01-01
G G Illei, J H Klippel
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引用次数: 0

摘要

当临床怀疑程度高时,抗核抗体检测是确认狼疮诊断的有效方法,当SLE在鉴别诊断中,但其可能性低至中等时,抗核抗体检测是排除狼疮的有效方法。由于该测试非常敏感,但对狼疮没有特异性,因此如果ANA测试结果为阳性,则可能导致诊断混乱,并给患者和医生带来不必要的焦虑。
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Why is the ANA result positive?

Antinuclear antibody testing is a useful way to confirm the diagnosis of lupus when the clinical suspicion is high, or to exclude it in cases when SLE is in the differential diagnosis but the likelihood of it is low to moderate. Because the test is very sensitive and yet not specific for lupus, an inappropriately ordered ANA test with a positive result can cause diagnostic confusion and unnecessary anxiety for the patient and the physician.

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Update on reactive arthritis. Sensible approach to low back pain. The use of low-dose prednisone in the management of rheumatoid arthritis. Getting to the heart of the matter in systemic lupus and rheumatoid arthritis. Sex and arthritis.
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