RESUMO
Objective To investigate the clinical significance of ANCA in the disease activity of patients with SLE.Methods A total of 1 025 SLE patients were recruited and were divided into inactive and active groups according to SLEDAI score.Demographic characteristics,clinical symptoms,autoantibodies,routine laboratory tests and renal pathology were also recorded and compared between the two groups.Results All patients were divided into inactive group(n = 750)and active group(n = 250).The occurrence of renal,pulmonary,cutaneous,arthritis manifestations were significantly higher than those of the inactive group(all P<0.05).All patients were tested for ANCA,and the most common pattern being perinuclear or p-ANCA,the percentage of p-ANCA seroposi-tive increased greatly with the increased disease activity(P<0.05).The autoantibodies were further analyzed between the two groups,25 patients had reactivity to MPO,but no patient had reactivity to PR3.Also,there were significant differences in anti-dsDNA antibody,anti-nucleosome antibody between the two groups(P<0.05).In the active group,patients with p-ANCA seropositive exhibited higher serum beta-2-microglobulin(β2-MG),titers of anti-dsDNA antibody,SLEDAI scores,lower albumin,C3,and C4 levels(P<0.05).Meanwhile,p-ANCA was associated with IL-6,which increased significantly with the increase of SLEDAI score.In addition,patients with p-ANCA seropositive had more occurrence of lupus nephritis,but it had no association with the renal pathology.Conclusion The appearance of p-ANCA in SLE patients indicated more severe disease activity status.
RESUMO
Objective To analyze the detection results and distribution characteristics of serum allergen-specific immunoglobulin(Ig)E in patients with type Ⅰ allergic diseases(hereinafter referred as allergic disea-ses)in Chengdu area,and to provide epidemiological data and diagnostic basis for the prevention and treat-ment of allergic diseases.Methods A total of 19 744 patients diagnosed with allergen-specific IgE antibody screening in Sichuan Academy of Medical Sciences·Sichuan Provincial People's Hospital from September 2018 to December 2022 were included in this study.The serum level of allergen-specific IgE antibody was de-tected by enzyme-linked immunosorbent rapid test strip technology.According to different age,gender,season and disease groups,the positive results of specific allergens were counted,and the distribution characteristics and rules of specific allergens were analyzed.Results Among the 19 744 patients with allergic diseases,8 406 were positive for allergen-specific IgE,and the positive rate was 42.57%.The main inhaled allergens were house dust mites(15.17%),house dust(10.86%)and cat dander(4.04%).Milk(2.26%),beef(1.68%)and egg white(0.86%)were the main food allergens.The positive rate of inhaled allergens was higher than that of food allergens(P<0.05).The positive rate of male was higher than that of female(P<0.05).The positive rate of allergens in patients aged 10-<18 years was the highest,and the main allergens were house dust mites,house dust and cat dander.The positive rate of allergens was the highest in autumn,followed by spring and winter,and the lowest in summer.The main allergens were house dust mites,house dust and cat dander.The positive rates of allergens in different types of allergic diseases were as follows:allergic rhinitis>allergic asthma>eczema>others>allergic purpura>urticaria.There were significant differences in all aller-gens except cod,crab,mango and peanut among different diseases(P<0.05).Conclusion The characteristics of patients with allergic disease in Chengdu area are as follows:inhaled allergens are the main allergens;males have a higher allerger positive rate;the majority of patients were 10-<18 years old;patients are prone to dis-ease in autumn;allergic rhinitis was the most common.This can provide a reference for the prevention and treatment of allergic diseases in this area.