[Heterophile interference: an experimental method of depleting rheumatoid factor from sera in Abidjan, Côte d'Ivoire]. / Interférences hétérophiles : expérimentation d'une méthode d'épuisement des sérums en facteurs rhumatoïdes à Abidjan (Côte d'Ivoire).

Rheumatoid factor (RF) is a major source of interference in immunoassays. Several methods have been proposed to eliminate interference. We experimented with a new technique based on the depletion of rheumatoid factor from serum samples. Our study included 150 samples, 64 of them positive for RF. Depletion was performed by the adsorption of RF from the sample by latex beads sensitized with human IgG anti-RF. After precipitation of the complexes formed, the supernatant was tested for RF. Finally, we assessed the performance of this RF depletion method with two tests: ELISA Enzygnost Enzygnost anti-HBs micro-Behring and IFI falciparum Ref 75521 Biomerieux. We compared the percentages of false-negative and false-positive results of these tests before and after depletion of the RF-positive serum samples. Efficiency index is 92.2% and the performance of the two immunoassay tests improved significantly by a factor of 2 to 25 after depletion. In addition, this technique is easy, inexpensive, fast, and suitable to our limited resources as a developing country. It should be extended to other immunological tests for validation of the results.

[Immunological aspects of a case of extragenital endometriosis localized in the mouth]. / Aspects immunologiques d'un cas d'endométriose extra-génitale à localisation buccale à Abidjan.

To appreciate the role of the immune system in transportation and development of endometer cells in mouth, authors reported the results of immunological parameters analysis in one patient suffering to a mouth localisation healed endometriosis out of hormonal therapy in experimental and analytic study. Immunoglobulin A, G, M and C3, C4 complement fractions were measured by Mancini radial immunodiffusion. The count of CD4+, CD8+and B Cell was performed by BD FASCalibur flow cytometer. Autoimmune diseases were searched after by measuring autoantibodies using agglutination and immunofluoresence methods. The results showed any antibodies detected and the count of CD4, CD8 and B cells was normal. However, IgG and IgA increased. But C3, C4 factions and IgM decreased. This seems an immunological disorder which could be more explored in NK cells and cytokines study.