Analysis of clinical characteristics of 2243 with positive anti-gastric parietal cell antibody

J Clin Lab Anal. 2020 Jul;34(7):e23264. doi: 10.1002/jcla.23264. Epub 2020 Feb 28.

Abstract

Background: To facilitate the early detection of chronic diseases, we analyzed the clinical characteristics of anti-gastric parietal cell antibody (PCA)-positive population, revealed the early characteristics of the population.

Methods: According to the retrospective analysis, current situation investigation and comparative analysis of the clinical characteristics and medical history of the subjects, the comparison between the groups was performed.

Result: (a) The positive rate of PCA detection in department of gastroenterology in our hospital was 35.80%. Among the individuals who underwent PCA, esophagogastroduodenoscopy (EGD) and pathological examination at the same time, 33.59% of the patients with PCA positive were diagnosed as atrophic gastritis by gastroscopy, which was much higher than 9.09% of the patients with PCA negative. (b) The incidence of gastroesophageal reflux, hypertension, ischemic heart disease (IHD) and cerebral ischemia in PCA-positive population were 65.45%, 81.63%, 15.43%, and 31.61%, respectively, which were significantly higher than those in the control group. (c) The incidence rates of decreased red blood cells (RBC) and increased homocysteine (HCY) in laboratory-related tests were 38.30% and 69.15%, respectively, which were much higher than those in control group.

Conclusion: PCA has predictive value for a variety of chronic diseases and timely detection is of great significance.

Keywords: autoimmune gastritis; clinical characteristics; parietal cell antibody; predictive value.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Autoantibodies / blood*
  • Autoantibodies / immunology
  • Chronic Disease
  • Endoscopy, Digestive System
  • Erythrocyte Count
  • Female
  • Gastritis, Atrophic / diagnosis*
  • Gastritis, Atrophic / epidemiology
  • Gastritis, Atrophic / immunology
  • Gastroesophageal Reflux / diagnosis
  • Gastroesophageal Reflux / epidemiology
  • Gastroesophageal Reflux / immunology
  • Homocysteine / blood
  • Humans
  • Hypertension / epidemiology
  • Hypertension / immunology
  • Incidence
  • Logistic Models
  • Male
  • Middle Aged
  • Parietal Cells, Gastric / immunology*
  • Retrospective Studies

Substances

  • Autoantibodies
  • Homocysteine