CIULLA NOTES Flashcards
Antinuclear antibodies associated with
- SLE
- MCTD
- RA
Techniques used to detect ANA
- Agglutination
- Indirect Immunofluorescence
- Enzyme Immunoassay
Diffuse or Homogenous
Anti-DNA antibody and Histones
Peripheral Indirect IF results
Anti-DNA antibody and anti-lamins
Speckled pattern
nuclear ribonucleoprotein (RNP)
anti-smith
Nucleolar
stains two or three large fluorescent areas
anti-RNP
Stains as a discrete speckled pattern due to anti-
centromere antibody
Centromere
- Anti-antibody
- IgM
- binds to FC portion of abnormal IgG
- detected by latex agglutination
Rheumatoid factor
- Proteins that reversibly precipitate at 4°C
- autoimmune
- vasculitis
- glomerulonephritis
SLE
RA
Sjogren syndrome
Cryoglobulins
Autoantibody: Centromere
Disease:
CREST (calcinosis, Raynaud syndrome, esophageal
hypomotility sclerodactyly, and telangectasia) syndrome
dsDNA
Autoantibody: dsDNA
Disease:
- SLE
- low titers RA and Sjogren Syndrome
Autoantibody: Histone
Disease:
Drug-induced SLE
Autoantibody: Nuclear RNP
Disease:
- SLE
- Mixec Connective tissue disease
Autoantibody: Scl-70
Disease:
Scleroderma (systemic sclerosis)
Autoantibody: Sjogren syndrome A (SSA {Ro})
Disease:
Sjogren Syndrome
SlE
Autoantibody: Sjogren syndrome B (SSB [LA])
Disease:
Sjogren syndrome
SLE
Autoantibody: Sm
Disease:
SLE (high specificity) but low sensitivity
- chronic
- non infectious inflam disease
- involve many organs
- more likely to occur in women
- Tissue injury: caused by autoantibodies and immune complexes
- depressed suppressor T cell
- butterfly rash
- vasculitis
Systemic lupus erythematosus
- chronic
- noninfectious
- systemic inflam
- primarily affects joint
- women are more affected
- production of IgG or IgM ab against IgG
- anorexia
- morning stiffness
- joint pain
- inrcease ESR, CRP
- (+) RF, croglobulins
Rheumatoid arthritis
- inflam of salivary and lacrimal glands
- causes dryness of mouth and eyes
- polyclonal hypergammaglobulinemia
- (+) RF, ANA (speckled/diffuse pattern)
- Anti-SSA
- Anti-SSB
Sjogren syndrome
- increase RBC destruction
- normocytic, normochromic anemia
- autoab directed against RBC antigens
(+) DAT and sometimes cold agglutinins
Autoimmune hemolytic anemia
- Humoral and cellular immunity activated
- loss of thyroid function
- low levels of thyroid hormones
- antithyroid antibodies
- CA-2
- microsomal antigen
Hashimoto disease
- hyperplasia
- diffuse goiter
- autoab reacting with thyroid receptor
- overstimulates thyroid gland: Thyrotoxicosis
- autoan mimics activity of TSH
- T3, T4 increase
- TSH decrease
- Exophthalmos (bulging eyes)
- infiltrative dermopathy
Graves disease
- nerve muscles do not function normally
- antibodies to acetylcholine receptors
Myasthenia graves