Document Detail


Positive anti-cyclic citrullinated proteins and rheumatoid factor during active lung tuberculosis.
MedLine Citation:
PMID:  16361276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine the prevalence of anti-cyclic citrullinated proteins (anti-CCP) and IgM rheumatoid factor (RF) in sera of patients with TB compared with healthy controls. PATIENTS AND METHODS: 47 consecutive patients with recently diagnosed active pulmonary TB and 39 healthy controls were studied. Data were collected by questionnaire on clinical features of the disease, duration of symptoms, fever, cough, arthralgia, myalgia, sicca symptoms. Serum samples were collected from patients before starting treatment for TB and frozen at -20 degrees C. Anti-CCP and IgM RF were evaluated by ELISA. RESULTS: The mean (SD) duration of TB related symptoms was 4.4 (1.7) months, 73% had fever, 94% a cough. Rheumatic symptoms were relatively rare: arthralgia (4%), myalgias (4%), eye and mouth dryness (2% and 9%, respectively). Mean (SD) levels of anti-CCP were significantly increased in patients with TB compared with controls: 44.9 (51) IU v 20 (7.3) IU (p = 0.002). Serum levels >40 U were found in 15/47 (32%) patients compared with 1/39 (2.6%) controls (p = 0.002). Mean (SD) serum levels of IgM RF were significantly increased in patients with TB: 17.8 (19) v 4.3 (5) (p<0.0001). IgM RF was positive (>6 IU) in 29/47 (62%) patients v 1/39 (2.6%) controls (p<0.0001). CONCLUSIONS: A significant proportion of patients with active TB have an increased titre of anti-CCP and IgM RF.
Authors:
O Elkayam; R Segal; M Lidgi; D Caspi
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Publication Detail:
Type:  Journal Article     Date:  2005-12-16
Journal Detail:
Title:  Annals of the rheumatic diseases     Volume:  65     ISSN:  0003-4967     ISO Abbreviation:  Ann. Rheum. Dis.     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-07-13     Completed Date:  2006-08-16     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372355     Medline TA:  Ann Rheum Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  1110-2     Citation Subset:  IM    
Affiliation:
Department of Rheumatology, Tel Aviv Medical Centre, 6 Weizman Street, Tel Aviv 64239, Israel. oribe14@netvision.net.il
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Aged
Autoantibodies / blood*
Case-Control Studies
Chi-Square Distribution
Female
Humans
Male
Middle Aged
Mycobacterium tuberculosis*
Peptides, Cyclic / immunology*
Rheumatoid Factor / analysis*
Tuberculosis, Pulmonary / immunology*
Chemical
Reg. No./Substance:
0/Autoantibodies; 0/Peptides, Cyclic; 0/cyclic citrullinated peptide; 9009-79-4/Rheumatoid Factor
Comments/Corrections

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