[Comparison of clinical characteristics and laboratory parameters of patients with dermatomyositis-specific autoantibodies and autoantibody-negative patients]

Orv Hetil. 2015 Sep 6;156(36):1451-9. doi: 10.1556/650.2015.30221.
[Article in Hungarian]

Abstract

Introduction: Myositis is an autoimmune disease characterised by proximal muscle weakness.

Aim: The aim of the authors was to determine the frequency of dermatomyositis-specific autoantibodies (anti-Mi-2, anti-transcriptional intermediary factor 1 gamma, anti-nuclear matrix protein 2, anti-small ubiquitin-like modifier activating enzyme, anti-melanoma differentiation-associated gene) in a Hungarian myositis population and to compare the clinical features with the characteristics of patients without myositis-specific antibodies.

Method: Antibodies were detected using immunoblot and immunoprecipitation.

Results: Of the 330 patients with myositis, 48 patients showed dermatomyositis-specific antibody positivity. The frequency of antibodies in these patients was lower than those published in literature Retrospective analysis of clinical findings and medical history revealed that patients with dermatomyositis-specific autoantibody had more severe muscle weakness and severe skin lesions at the beginning of the disease.

Conclusions: Antibodies seem to be useful markers for distinct clinical subsets, for predicting the prognosis of myositis and the effectiveness of the therapy.

Keywords: anti-Mi-2; anti-NXP2; anti-TIF1-γ; anti-TIF1γ; myositis; myositis-specific autoantibody; myositisspecifikus autoantitest.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Adult
  • Autoantibodies / blood*
  • Dermatomyositis / complications
  • Dermatomyositis / immunology*
  • Dermatomyositis / physiopathology
  • Female
  • Humans
  • Immunoblotting
  • Immunoprecipitation
  • Male
  • Middle Aged
  • Muscle Weakness / immunology*
  • Retrospective Studies
  • Treatment Outcome

Substances

  • Autoantibodies
  • Mi-2 antibodies