IMMUNOGENETIC PREDICTION OF PULMONARY FIBROSIS IN SYSTEMIC-SCLEROSIS

被引:113
作者
BRIGGS, DC
VAUGHAN, RW
WELSH, KI
MYERS, A
DUBOIS, RM
BLACK, CM
机构
[1] TEMPLE UNIV,HLTH SCI CTR,PHILADELPHIA,PA 19140
[2] ROYAL BROMPTON HOSP,DEPT THORAC MED,LONDON,ENGLAND
[3] ROYAL FREE HOSP,DEPT RHEUMATOL,LONDON,ENGLAND
关键词
D O I
10.1016/0140-6736(91)91235-M
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
75 systemic sclerosis patients were independently tested for pulmonary fibrosis, autoantibodies, and MHC class II genes. 24 of 42 (57%) patients with pulmonary fibrosis had either HLA DR3/DRw52a or anti-Scl-70 vs 2 of 33 (6%) patients without pulmonary fibrosis. The presence of DR3/DRw52a or anti-Scl-70 gives a relative risk of 16.7 for the development of pulmonary fibrosis in a patient with scleroderma-a risk substantial enough to require careful monitoring of these patients and treatment at an early stage of disease.
引用
收藏
页码:661 / 662
页数:2
相关论文
共 8 条
[1]   DNA-RFLP ANALYSIS AND GENOTYPING OF HLA-DR AND DQ ANTIGENS [J].
BIDWELL, J .
IMMUNOLOGY TODAY, 1988, 9 (01) :18-23
[2]   SEROLOGICAL MARKERS IN PROGRESSIVE SYSTEMIC-SCLEROSIS - CLINICAL CORRELATIONS [J].
CATOGGIO, LJ ;
BERNSTEIN, RM ;
BLACK, CM ;
HUGHES, GRV ;
MADDISON, PJ .
ANNALS OF THE RHEUMATIC DISEASES, 1983, 42 (01) :23-27
[3]  
HARRISON NK, 1989, RESPIR MED, V83, P404
[4]  
LEROY EC, 1988, J RHEUMATOL, V15, P202
[5]   HISTOCOMPATIBILITY ANTIGENS IN PROGRESSIVE SYSTEMIC-SCLEROSIS (PSS-SCLERODERMA) [J].
LYNCH, CJ ;
SINGH, G ;
WHITESIDE, TL ;
RODNAN, GP ;
MEDSGER, TA ;
RABIN, BS .
JOURNAL OF CLINICAL IMMUNOLOGY, 1982, 2 (04) :314-318
[6]   CLINICAL CORRELATIONS AND PROGNOSIS BASED ON SERUM AUTOANTIBODIES IN PATIENTS WITH SYSTEMIC-SCLEROSIS [J].
STEEN, VD ;
POWELL, DL ;
MEDSGER, TA .
ARTHRITIS AND RHEUMATISM, 1988, 31 (02) :196-203
[7]   CRYPTOGENIC FIBROSING ALVEOLITIS - CLINICAL-FEATURES AND THEIR INFLUENCE ON SURVIVAL [J].
TURNERWARWICK, M ;
BURROWS, B ;
JOHNSON, A .
THORAX, 1980, 35 (03) :171-180
[8]  
WEINER ES, 1990, ARTHRITIS RHEUM, V34, P68