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Multispecific anti neutrophil cytoplasm antibodies: a case report.

Authors: Marouane, Haddad; Meherzia, Bourguiba; Najla, Ghrairi; Hayet, Bouakkez; Ibtissem, Nahdi; Awatef, Dahmouni; Ikram, Drira; +1 Authors

Multispecific anti neutrophil cytoplasm antibodies: a case report.

Abstract

To report the presence af ANCA with an unusual polyreactivity.50 year-old woman with pulmonary fibrosis whose immunological investigations showed the presence of ANCA with an unusual polyreactivity against several neutrophil proteins (PR3,MPO, BPI, lysozyme, elastase and cathepsine G) which could be related to a polyclonal hypergammaglobulinemia occurring in this patient.The international consensus on the testing of ANCA recommends seeking major specificities like MPO and PR3 which are good markers of ANCA-associated vasculitides. The use of multiantigenic ELISA can be helpful to detect various target antigens at the same time and may thus explain some atypical fluorescent patterns observed when searching for ANCA by Indirect immunofluorescence, these results, however, must be interpreted with caution.

Keywords

Cathepsin G, Pancreatic Elastase, Enzyme-Linked Immunosorbent Assay, Blood Proteins, Antibodies, Antineutrophil Cytoplasmic, Humans, Female, Muramidase, Serine Proteases, Antimicrobial Cationic Peptides, Peroxidase

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
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Average
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