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Evaluation of Serum Anti-Neutrophil Cytoplasmic Antibody in Patients With Behçet’s Disease

Year 2005, Volume: 7 Issue: 1, 15 - 18, 01.03.2005

Abstract

Behçet’s disease is a chronic illnes with unknown etiology and associated with oral aphtae, genital ulceration and uveitis. In this study ANCA positivity which was previously reported in some patients, was investigatedin patients with Behçet’s disease. This study was performed on 32 patients , 21 female and 11 male, who are between 20-59 year old and attended to the Ministry of Health, Ankara Training and Research Hospital Department of Dermatology between June 2002 and January 2003. Diagnosis was made according to the International Study Group Criteria. Serum c-ANCA and p-ANCA were negative in all patients. As a result, although Behçet’s disease mimics to some ANCA positive vasculitis, our results support the theory that ANCA does not have a role in the pathogenesis of Behçet’s disease

References

  • Lesavre P. ANCA; diversity and clinical applications. Advances Nephrol. 22:237-67, 1993.
  • Jennette JC, Wilkmann AS, Falk RJ. Antineutrophil cytoplasmic autoantibody- associated glomerulonephritis and vasculitis. Am J Pathol, 135(5):921-30, 1989.
  • Cohen Terveart JW, Huitema MG, Hene RJ, et all. Prevention of relapses in Wegener’s granulomatosis by treatment based on antineutrophil cytoplasmic antibody titre. Lancet. 336: 709-11, 1990.
  • Jennette JC, Falk RJ. Antineutrophil cytoplasmic autoantibodies and associated diseases: A review. Am J Kidney Dis. 15(6): 517-29, 1990.
  • Rump JA, Schölmerich J, Gross V, Roth M, Helfesrieder R, Rautmann A, Ludemann J, et all. A new type of perinuclear antineutrophil cytoplasmic antibody (p-ANCA) in active ulserative colitis but not in Crohn’ disease. Immunobiology. 181(4-5):406-13, 1990.
  • Gross WF, Schmitt WH, Csernok E. ANCA and associated diseases: Immunodiagnostic and pathogenetic aspects. Clin Exp Immunol. 91(1):1-12, 1993.
  • Hagen EC, Ballieux BE, van ES LA, Daha MR, van der Woude FJ. Antineutrophil cytoplasmic antibodies: A review of the antigens involved, the assays and the clinical possible pathogenetic consequences. Blood. 15; 81(8):1996-2002, 1993.
  • Gispert JP, Luna M, Legido J, Hermida C, Mate J, Pajares JM. Anti-neutrophil cytoplasmic antibodies in the diagnosis of ulcerative colitis and Crohn’s disease. Med Clin. 122(4):134-5, 2004.
  • Efthimiou J, Spickett G, Lane D, Thompson A. Antineutrophil cytoplasmic antibodies, cystic fibrosis and infection. Lancet. 1:1037-8, 1991.
  • Jorizzo JL. Behçet’sdisease. In: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Kat SI, Fitzpatrick TB, editors. Dermatology in General Medicine. 5th ed. New York: McGraw- Hill Company, pp: 2161-5, 1999.
  • 11- Jayashri VG, Jorizzo JL. Behçet’s disease and complex aphthosis. J Am Acad Dermatol. 40: 1- 18, 1999.
  • 12- Direskeneli H. Behçet’s disease: infectious aetiology, new autoantigens and HLA-51. Ann Rheum Dis. 60: 996-1002, 2001.
  • 13- Behçet H. Uber rezidivivierende aphthose, durch ein virus verursachte geschwure am mund, am auge und an den genitalien. Dermatol Wochenschr. 105: 1152-7, 1937.
  • 14- Charles LA, Caldas ML, Falk RJ, Terrell RS, Jennette JC. Antibodies againts granule proteins activate neutrophils in vitro. J Leukoc Biol. 50(6):539-46, 1991.
  • 15- Specks U, Wiegert EM, Homburger HA. Human mast cell expressing recombinant proteinase 3 (PR3) as substrate for clinical testing for anti-neutrophil cytoplasmic antibodies (ANCA). Clin Exp Immunol. 109:286-95, 1997.
  • 16- Frampton G, Jayne DRW, Perry GJ, et all. Autoantibodies to endothelial cells and neutrophil cytoplasmic antigens in systemic vasculitis. Clin Exp Immunol. 82(2):227-32, 1990.
  • Guillevin L, Visser H, Noel LH, Pourrat J, Vernier I, Gayraud M, Oksman F, Lesavre P. Antineutrophil cytoplasm antibodies in systemic polyarteritis nodosa with and without hepatitis B virus infection and Churg-Strauss syndrome-62 patients. J Rheumatol. 20(8):1345-9, 1993.
  • Rider LG, Wener MH, French J, Sherry DD, Mendelman PM. Autoantibody production in Kawasaki syndrome. Clin Exp Rheumatol. 11(4):445-9, 1993.
  • Ronda N, Esnault VL, Layward L, Sepe V, Allen A, Feehally J, Lockwood CM. Antineutrophil cytoplasm antibodies (ANCA) of IgA isotype in adult Henoch-Schonlein purpura. Clin Exp Immunol. 95(1):49-55, 1994.
  • 20- Yang CW, Park IS, Kim SY, Chang YS, Yoon YS, Bang BK, Choi YJ et all. Antineutrophil cytoplasmic autoantibody associated vasculitis and renal failure in Behçet disease. Nephrol Dial Transplant. 8:871-3, 1993.
  • 21- Baleva M, Kolarov Z, Nikolov K. Antineutrophil cytoplasmic autoantibody in two patients with Behçet’s disease. Nephrol Dial Transplant. 9:876, 1994.
  • 22- Vaiopolus G, Katzinikolaou P, Tsiroyanni A, Mavropoulos S, Stamatelos G, Terzioglu K, Tzonou A et al. Antineutrophil cytoplasmic autoantibody in Adamantiadis- Behçet’s disease. Br J Rheumatol. 33:406-7, 1994.
  • 23- Ben Hmida M, Hachicha J, Kaddour N, Makni H, Aydel FZ et all. ANCA in Behçet’s disease. Nephrol Dial Transplant. 12:2465-6, 1997.

Behçet Hastalarında Serum Anti-Nötrofil Sitoplazmik Antikor Varlığının Araştırılması

Year 2005, Volume: 7 Issue: 1, 15 - 18, 01.03.2005

Abstract

Behçet hastalığı; ağızda aft, genital ülserasyon ve üveitle birlikte seyreden, etyolojisi bilinmeyen, kronik bir hastalıktır. Bu çalışmada, Behçet hastalarında daha önce bazı vakalarda bildirilen ANCA pozitifliği araştırıldı. Çalışma, Haziran 2002 - Ocak 2003 tarihleri arasında S.B. Ankara Eğitim ve Araştırma Hastanesi Dermatoloji Polikliniğine başvuran 21’i kadın, 11’i erkek, yaşları 20-59 yıl arasında değişen, 32 Behçet hastası ile gerçekleştirildi. BH tanısı, Uluslararası Çalışma Grubu Tanı Kriterlerine göre kondu. Ölçümlerde tüm hastalarda serum c-ANCA ve p-ANCA’nın negatif olduğu saptandı. Sonuç olarak Behçet hastalığı, ANCA pozitifliği gösteren vaskülitlerle benzerlik göstermesine rağmen, bu çalışma Behçet hastalığının patogenezinde ANCA’nın rolü olmadığı görüşünü desteklemektedir

References

  • Lesavre P. ANCA; diversity and clinical applications. Advances Nephrol. 22:237-67, 1993.
  • Jennette JC, Wilkmann AS, Falk RJ. Antineutrophil cytoplasmic autoantibody- associated glomerulonephritis and vasculitis. Am J Pathol, 135(5):921-30, 1989.
  • Cohen Terveart JW, Huitema MG, Hene RJ, et all. Prevention of relapses in Wegener’s granulomatosis by treatment based on antineutrophil cytoplasmic antibody titre. Lancet. 336: 709-11, 1990.
  • Jennette JC, Falk RJ. Antineutrophil cytoplasmic autoantibodies and associated diseases: A review. Am J Kidney Dis. 15(6): 517-29, 1990.
  • Rump JA, Schölmerich J, Gross V, Roth M, Helfesrieder R, Rautmann A, Ludemann J, et all. A new type of perinuclear antineutrophil cytoplasmic antibody (p-ANCA) in active ulserative colitis but not in Crohn’ disease. Immunobiology. 181(4-5):406-13, 1990.
  • Gross WF, Schmitt WH, Csernok E. ANCA and associated diseases: Immunodiagnostic and pathogenetic aspects. Clin Exp Immunol. 91(1):1-12, 1993.
  • Hagen EC, Ballieux BE, van ES LA, Daha MR, van der Woude FJ. Antineutrophil cytoplasmic antibodies: A review of the antigens involved, the assays and the clinical possible pathogenetic consequences. Blood. 15; 81(8):1996-2002, 1993.
  • Gispert JP, Luna M, Legido J, Hermida C, Mate J, Pajares JM. Anti-neutrophil cytoplasmic antibodies in the diagnosis of ulcerative colitis and Crohn’s disease. Med Clin. 122(4):134-5, 2004.
  • Efthimiou J, Spickett G, Lane D, Thompson A. Antineutrophil cytoplasmic antibodies, cystic fibrosis and infection. Lancet. 1:1037-8, 1991.
  • Jorizzo JL. Behçet’sdisease. In: Freedberg IM, Eisen AZ, Wolff K, Austen KF, Goldsmith LA, Kat SI, Fitzpatrick TB, editors. Dermatology in General Medicine. 5th ed. New York: McGraw- Hill Company, pp: 2161-5, 1999.
  • 11- Jayashri VG, Jorizzo JL. Behçet’s disease and complex aphthosis. J Am Acad Dermatol. 40: 1- 18, 1999.
  • 12- Direskeneli H. Behçet’s disease: infectious aetiology, new autoantigens and HLA-51. Ann Rheum Dis. 60: 996-1002, 2001.
  • 13- Behçet H. Uber rezidivivierende aphthose, durch ein virus verursachte geschwure am mund, am auge und an den genitalien. Dermatol Wochenschr. 105: 1152-7, 1937.
  • 14- Charles LA, Caldas ML, Falk RJ, Terrell RS, Jennette JC. Antibodies againts granule proteins activate neutrophils in vitro. J Leukoc Biol. 50(6):539-46, 1991.
  • 15- Specks U, Wiegert EM, Homburger HA. Human mast cell expressing recombinant proteinase 3 (PR3) as substrate for clinical testing for anti-neutrophil cytoplasmic antibodies (ANCA). Clin Exp Immunol. 109:286-95, 1997.
  • 16- Frampton G, Jayne DRW, Perry GJ, et all. Autoantibodies to endothelial cells and neutrophil cytoplasmic antigens in systemic vasculitis. Clin Exp Immunol. 82(2):227-32, 1990.
  • Guillevin L, Visser H, Noel LH, Pourrat J, Vernier I, Gayraud M, Oksman F, Lesavre P. Antineutrophil cytoplasm antibodies in systemic polyarteritis nodosa with and without hepatitis B virus infection and Churg-Strauss syndrome-62 patients. J Rheumatol. 20(8):1345-9, 1993.
  • Rider LG, Wener MH, French J, Sherry DD, Mendelman PM. Autoantibody production in Kawasaki syndrome. Clin Exp Rheumatol. 11(4):445-9, 1993.
  • Ronda N, Esnault VL, Layward L, Sepe V, Allen A, Feehally J, Lockwood CM. Antineutrophil cytoplasm antibodies (ANCA) of IgA isotype in adult Henoch-Schonlein purpura. Clin Exp Immunol. 95(1):49-55, 1994.
  • 20- Yang CW, Park IS, Kim SY, Chang YS, Yoon YS, Bang BK, Choi YJ et all. Antineutrophil cytoplasmic autoantibody associated vasculitis and renal failure in Behçet disease. Nephrol Dial Transplant. 8:871-3, 1993.
  • 21- Baleva M, Kolarov Z, Nikolov K. Antineutrophil cytoplasmic autoantibody in two patients with Behçet’s disease. Nephrol Dial Transplant. 9:876, 1994.
  • 22- Vaiopolus G, Katzinikolaou P, Tsiroyanni A, Mavropoulos S, Stamatelos G, Terzioglu K, Tzonou A et al. Antineutrophil cytoplasmic autoantibody in Adamantiadis- Behçet’s disease. Br J Rheumatol. 33:406-7, 1994.
  • 23- Ben Hmida M, Hachicha J, Kaddour N, Makni H, Aydel FZ et all. ANCA in Behçet’s disease. Nephrol Dial Transplant. 12:2465-6, 1997.
There are 23 citations in total.

Details

Primary Language Turkish
Journal Section Research Article
Authors

Mualla Uzun Polat This is me

Güler Vahaboğlu This is me

Meral Ekşioğlu This is me

Ufuk Önde This is me

Publication Date March 1, 2005
Published in Issue Year 2005 Volume: 7 Issue: 1

Cite

APA Polat, M. U., Vahaboğlu, G., Ekşioğlu, M., Önde, U. (2005). Behçet Hastalarında Serum Anti-Nötrofil Sitoplazmik Antikor Varlığının Araştırılması. Duzce Medical Journal, 7(1), 15-18.
AMA Polat MU, Vahaboğlu G, Ekşioğlu M, Önde U. Behçet Hastalarında Serum Anti-Nötrofil Sitoplazmik Antikor Varlığının Araştırılması. Duzce Med J. March 2005;7(1):15-18.
Chicago Polat, Mualla Uzun, Güler Vahaboğlu, Meral Ekşioğlu, and Ufuk Önde. “Behçet Hastalarında Serum Anti-Nötrofil Sitoplazmik Antikor Varlığının Araştırılması”. Duzce Medical Journal 7, no. 1 (March 2005): 15-18.
EndNote Polat MU, Vahaboğlu G, Ekşioğlu M, Önde U (March 1, 2005) Behçet Hastalarında Serum Anti-Nötrofil Sitoplazmik Antikor Varlığının Araştırılması. Duzce Medical Journal 7 1 15–18.
IEEE M. U. Polat, G. Vahaboğlu, M. Ekşioğlu, and U. Önde, “Behçet Hastalarında Serum Anti-Nötrofil Sitoplazmik Antikor Varlığının Araştırılması”, Duzce Med J, vol. 7, no. 1, pp. 15–18, 2005.
ISNAD Polat, Mualla Uzun et al. “Behçet Hastalarında Serum Anti-Nötrofil Sitoplazmik Antikor Varlığının Araştırılması”. Duzce Medical Journal 7/1 (March 2005), 15-18.
JAMA Polat MU, Vahaboğlu G, Ekşioğlu M, Önde U. Behçet Hastalarında Serum Anti-Nötrofil Sitoplazmik Antikor Varlığının Araştırılması. Duzce Med J. 2005;7:15–18.
MLA Polat, Mualla Uzun et al. “Behçet Hastalarında Serum Anti-Nötrofil Sitoplazmik Antikor Varlığının Araştırılması”. Duzce Medical Journal, vol. 7, no. 1, 2005, pp. 15-18.
Vancouver Polat MU, Vahaboğlu G, Ekşioğlu M, Önde U. Behçet Hastalarında Serum Anti-Nötrofil Sitoplazmik Antikor Varlığının Araştırılması. Duzce Med J. 2005;7(1):15-8.