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베체트병(Behcet's disease) 환자에서 항핵항체(Antinuclear antibody)의 발현에 관한 연구

Other Titles
 Antinuclear antibodies in Patient with Behcet's Disease 
Authors
 천은영  ;  박상건  ;  이성낙  ;  이은소  ;  방동식  ;  이광훈  ;  이주희  ;  조영훈 
Citation
 Korean Journal of Dermatology (대한피부과학회지), Vol.42(5) : 545-550, 2004 
Journal Title
Korean Journal of Dermatology(대한피부과학회지)
ISSN
 0494-4739 
Issue Date
2004
Keywords
Behcets disease ; Antinuclear antibody
Abstract
Background: Behtiet´s disease has features consistent with an immunopathogenic mechanism, but the autoreactivity in pathogenesis is unclear.
Objective: This study was to investigate the association of antinuclear antibodies (ANA) with Behcet´s disease.
Methods: The patients in this study were diagnosed at Severance Hospital Behcet´s Disease Specialty Clinic from May, 1998 to May, 2002. We evaluated the frequency, titers and immunofluorescence patterns of ANA in patients with Behcet´s disease, and compared the frequency with a healthy control group. According to the positivity of ANA, we compared the frequency of minor symptoms to investigate the association of the severity of disease with ANA.
Results:
1. Of the 554 cases of Behtcet´s disease, 46 cases (8.3%) were ANA positive, however, of the 271 cases of healthy control group, only 5 cases (1.8%) were ANA positive. (p=0.0003)
2. In ANA titers 38 cases (82.6%) showed low titer (1:40+, 1:160-), 5 cases (10.9%) intermediate titer (1:160+, 1:640-), and 3 cases high titer (>1:640+). There was no significant difference in intermediate and high titers between complete (17.9%) and incomplete type (14.3%).
3. In immunofluorescence patterns of ANA, 17 cases (37%) were speckled pattern, 5 cases (10.9%) homogeneous pattern, 3 cases (6.5%) centromere pattern. 2 cases (4.3%) nucleolar pattern and 19 cases (41.3%) unknown pattern.
4. Of 508 cases with negative ANA patients, 272 cases (53.5%) had minor symptoms, however, of 46 cases with positive ANA patients, 14 cases (30.4%) had minor symptoms (p=0.0027).
Conclusion: From this study ANA was more prevalent in Behcet´s disease. However, it was not related to severity of disease and most of them were low titer. ANA, herein, might play a minor role in pathogenesis of Beh~et´s disease.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
Yonsei Authors
Bang, Dong Sik(방동식)
Lee, Kwang Hoon(이광훈)
Lee, Ju Hee(이주희) ORCID logo https://orcid.org/0000-0002-1739-5956
Cho, Young Hun(조영훈)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/111981
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