Elevated IgG autoantibody production in oligoarticular juvenile idiopathic arthritis may predict a refractory course.

Abstract:

OBJECTIVES:Although oligoarticular juvenile idiopathic arthritis (oJIA) is considered to carry the best prognosis among the JIA subtypes, many children evolve to a chronic course. A few studies have identified clinical risk factors for disease extension, and recent studies have evaluated synovial fluid markers. However, the only biological marker from the serum studied to date is the anti-nuclear antibody (ANA), regarding which there is mixed data regarding prognosis. No studies have evaluated whether additional autoantibodies may affect the articular prognosis of oJIA. METHODS:Microarrays containing candidate autoantigens were printed on slides, which were used to profile 36 children with oJIA and 18 controls. Unsupervised cluster analysis was used to identify distinct subgroups of JIA patients. Response to therapy after a mean interval of 4.9 months was evaluated. RESULTS:Cluster analysis revealed two subgroups of oJIA patients, with identical clustering observed when children with onset over age six were excluded. Cluster 1 had higher levels of multiple autoantibodies compared to both cluster 2 as well as controls, including antibodies against several extracellular matrix (ECM) and nuclear antigens. Although the two patient clusters were similar with respect to clinical features and treatment decisions, children in cluster 1 were less likely to have attained remission by the follow-up visit. CONCLUSIONS:Antibodies against ECM and possibly other antigens may identify a sub-group of children with oJIA who will require more aggressive therapy to attain control of the arthritis.

journal_name

Clin Exp Rheumatol

authors

Stoll ML,Li QZ,Zhou J,Punaro M,Olsen NJ

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

736-42

issue

4

eissn

0392-856X

issn

1593-098X

pii

4538

journal_volume

29

pub_type

杂志文章
  • Glucocorticoid-sparing in patients suffering from rheumatoid arthritis and treated with tocilizumab: the SPARE-1 study.

    abstract:OBJECTIVES:To describe steroid-sparing in rheumatoid arthritis (RA) patients treated with tocilizumab (TCZ). METHODS:To evaluate the proportion of RA patients treated with more than 5 mg of prednisone (or equivalent)/day and starting TCZ who can receive less than 5 mg/day after 12 months without intensification of dis...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Saraux A,Rouanet S,Flipo RM,Poncet JC,Fardellone P,Hilliquin P,Idier I,Cantagrel A

    更新日期:2016-03-01 00:00:00

  • Serum and in vitro production of IL-1 receptor antagonist correlate with C-reactive protein levels in newly diagnosed, untreated lupus patients.

    abstract:OBJECTIVE:To examine the correlation between C-reactive protein (CRP) and CRP-inducing cytokines (IL-1 beta, IL-6, TNF-alpha) and IL-1 receptor antagonist (IL-1ra), as well as to study their relationship with systemic lupus erythematosus disease activity (SLEDAI) in newly diagnosed, untreated lupus patients. METHODS:S...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Liou LB

    更新日期:2001-09-01 00:00:00

  • Performance of 18F-sodium fluoride positron emission tomography with computed tomography to assess inflammatory and structural sacroiliitis on magnetic resonance imaging in axial spondyloarthritis.

    abstract:OBJECTIVES:To assess increased sacroiliac joint (SIJ) uptake on 18F-NaF PET/CT according to a qualitative and quantitative approach and to compare with MRI SIJ assessments for structural and inflammatory sacroiliitis in a population of 23 patients with spondyloarthritis (SpA) (IDRCB: 2012-A00568-35; ClinicalTrials.gov:...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Ouichka R,Bouderraoui F,Raynal M,Melchior J,Morel O,Blum A,Chary-Valckenaere I,Ngueyon Sime W,Roch V,Maksymowych W,Lambert RG,Olivier P,Loeuille D

    更新日期:2019-01-01 00:00:00

  • Alterations of the hypothalamic-pituitary-adrenal axis in systemic immune diseases - a role for misguided energy regulation.

    abstract::The investigation of the hypothalamicpituitary-adrenal (HPA) axis in chronic inflammation has demonstrated: 1) an anti-inflammatory influence of the HPA axis; 2) low serum levels of adrenal androgen; 3) equivocal results with respect to levels of adrenocorticotropic hormone and cortisol; 4) inadequately low secretion ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Straub RH,Buttgereit F,Cutolo M

    更新日期:2011-09-01 00:00:00

  • Musculoskeletal colour/power Doppler in sports medicine: image parameters, artefacts, image interpretation and therapy.

    abstract::This review article discusses the aspects of sports medicine where musculoskeletal Doppler ultrasound has valuable contribution in diagnosis and/or treatment of some of the typical musculoskeletal sports injuries. Also, conditions where the Doppler ultrasound has no value are discussed. Some guidelines and recommendat...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Boesen MI,Boesen M,Langberg H,Koenig MJ,Boesen A,Bliddal H,Torp-Pedersen S

    更新日期:2010-01-01 00:00:00

  • Genotoxicity assessment using micronuclei assay in rheumatoid arthritis patients.

    abstract:OBJECTIVES:This study investigated whether: (i) rheumatoid arthritis (RA) patients have more micronuclei (MN) than healthy controls; (ii) methotrexate (MTX) treated RA patients have more MN than those not using MTX, and (iii) folic acid supplementation decreases the number of MN in MTX treated patients. METHODS:MN ass...

    journal_title:Clinical and experimental rheumatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Ramos-Remus C,Dorazco-Barragan G,Aceves-Avila FJ,Alcaraz-Lopez F,Fuentes-Ramirez F,Michel-Diaz J,Torres-Bugarin O,Ventura-Aguilar A,Zuñiga-González G

    更新日期:2002-03-01 00:00:00

  • Serum leptin, resistin, visfatin and adiponectin levels in tumor necrosis factor receptor-associated periodic syndrome (TRAPS).

    abstract:OBJECTIVES:The aims of our study were to evaluate serum leptin, resistin, visfatin and adiponectin levels in patients with tumour necrosis factor receptor-associated periodic syndrome (TRAPS), in comparison to healthy controls, and to correlate their levels to parameters of disease activity and/or severity. METHODS:Se...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Cantarini L,Obici L,Simonini G,Cimaz R,Bacarelli MR,Merlini G,Vitale A,Lucherini OM,Brizi MG,Galeazzi M,Fioravanti A

    更新日期:2012-05-01 00:00:00

  • Catastrophic antiphospholipid syndrome (CAS): a rare manifestation of the antiphospholipid antibody syndrome.

    abstract::During the last decade, antiphospholipid antibodies and their clinical manifestations have given rise to increasing interest and have been associated with a wide spectrum of clinic expression, including arterial and venous thrombosis, thrombocytopenia, recurrent fetal wastage, Coombs positive haemolysis, livedo reticu...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Mazzucchelli R,Barbadillo C,Youssef H,Bernaldo de Quiros LB,Mulero J,Andreu-Sanchez JL

    更新日期:1993-11-01 00:00:00

  • Impaired expression of erythrocyte glycosyl-phosphatidylinositol-anchored membrane CD59 in patients with psoriatic arthritis. Relation to terminal complement pathway activation.

    abstract:OBJECTIVE:Complement-mediated injury is regulated by many factors; among these CD59 has been identified as a widely distributed glycoprotein that inhibits membrane C5b-9 (terminal complement component) formation. The aim of the study was to assess erythrocyte CD59 expression in patients with psoriatic arthritis in orde...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Triolo G,Accardo-Palumbo A,Sallì L,Ciccia F,Ferrante A,Tedesco L,Sallì S,Giardina E,Pappalardo A,Licata G

    更新日期:2003-03-01 00:00:00

  • Unfavorable outcomes (end-stage renal failure/death) in childhood onset systemic lupus erythematosus. A multicenter study in Paris and its environs.

    abstract::Thirty of 118 cases of childhood onset systemic lupus erythematosus collected in the Parisian area had an unfavorable outcome. Thirteen patients evolved to end-stage renal failure. Seven survived with renal substitution therapy, and 6 other patients subsequently died. Most had diffuse proliferative glomerulonephritis,...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,多中心研究

    doi:

    authors: Levy M,Montes de Oca M,Claude-Babron M

    更新日期:1994-09-01 00:00:00

  • A novel mutation in the CIAS1/NLRP3 gene associated with an unexpected phenotype of cryopyrin-associated periodic syndromes.

    abstract:OBJECTIVES:Cryopyrin-associated periodic syndromes (CAPS) comprise a spectrum of distinct, rare, autosomal dominant autoinflammatory disorders of increasing severity caused by NLRP3 gene mutations. METHODS:We describe a 13-year-old female who presented, in the initial phase of the disease, recurrent episodes of high f...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Insalaco A,Prencipe G,Buonuomo PS,Ceccherini I,Bracaglia C,Pardeo M,Nicolai R,De Benedetti F

    更新日期:2014-01-01 00:00:00

  • Infliximab in the treatment of adult Still's disease refractory to conventional therapy.

    abstract::In this study we evaluated the efficacy of Infliximab in the treatment of adult Still's disease (ASD) refractory to conventional therapy. Three patients with chronic and active ASD unresponsive to corticosteroids and methotrexate were given intravenous Infliximab infusions at a dosage of 3 mg/kg at weeks 0, 2, 6 and t...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Cavagna L,Caporali R,Epis O,Bobbio-Pallavicini F,Montecucco C

    更新日期:2001-05-01 00:00:00

  • Patient and spouse appraisals of health status in rheumatoid arthritis and fibromyalgia: discrepancies and associations with invalidation.

    abstract:OBJECTIVES:The health problems of patients with rheumatoid arthritis and fibromyalgia are mostly invisible to others, which can lead to a discrepancy between patients' and spouses' appraisals of the severity of the health problems. As a consequence, some patients may feel 'invalidation' from their spouse, such as not b...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Kool MB,van Middendorp H,Bijlsma JW,Geenen R

    更新日期:2011-11-01 00:00:00

  • Protracted febrile myalgia of familial Mediterranean fever.

    abstract::Protracted febrile myalgia (PFM) includes severe myalgia of the upper and lower extermities accompanied by fever lasting up to 6 weeks, an elevated erythrocyte sedimentation rate and leucucytosis. We report a 13-year-old girl with PFM, and discuss the magnetic resonance imaging findings of the involved calf muscles. T...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Kotevoglu N,Sahin F,Ozkiris SO,Bankaoglu M,Sakiz D,Kuran B

    更新日期:2004-07-01 00:00:00

  • Body image of women with rheumatoid arthritis.

    abstract:OBJECTIVE:Physical disabilities generally cause severe disturbances in a patient's body image perception. The aim of the present study was to investigate different aspects of body image, including sexual dissatisfaction, in women with rheumatoid arthritis (RA) in relation to their subjective impression of handicap. ME...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Gutweniger S,Kopp M,Mur E,Günther V

    更新日期:1999-07-01 00:00:00

  • Glucocorticoids in rheumatology: indications and routes of administration.

    abstract::This paper in short reviews general indications, doses and routes of administration of glucocorticoid therapy in rheumatology. It presents greater detail concerning intralesional and intra-articular glucocorticoid injections. ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Jacobs JW,Bijlsma JW

    更新日期:2011-09-01 00:00:00

  • Is quality of life affected by season and weather conditions in ankylosing spondylitis?

    abstract:OBJECTIVE:To examine the links between the quality of life (QOL) and season and weather conditions in ankylosing spondylitis (AS) patients. METHODS:A cohort of 146 AS patients (67% males), with a mean age of 47.3 years and a mean disease duration of 12.8 years, answered a self-administered questionnaire, the AS-AIMS2 ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Challier B,Urlacher F,Vançon G,Lemelle I,Pourel J,Guillemin F

    更新日期:2001-05-01 00:00:00

  • A novel assessment tool for clinical care of patients with autoinflammatory disease: juvenile autoinflammatory disease multidimensional assessment report.

    abstract:OBJECTIVES:To develop and test a new multidimensional questionnaire for assessment of children with auto-inflammatory disease (AID) such as FMF, PFAPA, HIDS, TRAPS in standard clinical care. METHODS:The juvenile auto-inflammatory disease multidimensional assessment report (JAIMAR) includes 16 parent or patient-centere...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Konukbay D,Gattorno M,Yildiz D,Frenkel J,Acikel C,Sozeri B,Makay B,Aktay Ayaz N,Barut K,Kisaarslan A,Bilginer Y,Karaman D,Peru H,Simsek D,Aydog O,Unsal E,Gunduz Z,Fidanci BE,Kone-Paut I,Kasapcopur O,Ravelli A,Oz

    更新日期:2016-09-01 00:00:00

  • Sialic acid residues in the labial salivary glands from Sjögren's syndrome patients.

    abstract:OBJECTIVE:To investigate the composition and expression of sialic acid in the labial salivary glands (LSG) in Sjögren's syndrome (SS). METHODS:LSG of 19 patients with primary SS (n = 11) or secondary SS (n = 8) were studied. Specimens from 7 healthy women served as controls. Computer-assisted microscopy was employed t...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Penaloza A,Decaestecker C,Ribaï P,Nagy N,Salmon I,Appelboom T,Danguy A,Kiss R,Steinfeld S

    更新日期:1999-11-01 00:00:00

  • Rheumatic manifestations of immune deficiency.

    abstract::This article reviews the rheumatic manifestation of the immune deficiency disorders. In particular, the rheumatic manifestations of hypogammaglobulinaemia and the acquired immune deficiency syndrome (AIDS) are discussed. ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章,评审

    doi:

    authors: Preston SJ,Buchanan WW

    更新日期:1989-09-01 00:00:00

  • Immunogenetics and clinical aspects of Takayasu's arteritis patients in a Mexican Mestizo population.

    abstract:OBJECTIVE:The aim of the present work was to study the association between HLA alleles and Takayasu's arteritis in Mexican Mestizo patients. METHODS:The study included 26 Mexican Mestizo patients with Takayasu's arteritis and 99 healthy unrelated individuals. HLA-A, -B and -DR alleles were determined by polymerase cha...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Vargas-Alarcón G,Flores-Domínguez C,Hernández-Pacheco G,Zuñiga J,Gamboa R,Soto ME,Granados J,Reyes PA

    更新日期:2001-07-01 00:00:00

  • Lupus women with delivery with higher risk of heart failure compared with those without pregnancy but neutral in major adverse cardiovascular events. A population-based matched cohort study.

    abstract:OBJECTIVES:Limited data exist regarding the incidence rate and relative risks of major adverse cardiovascular events in women with lupus who have successfully delivered compared to those who have not been pregnant. METHODS:A retrospective, population-based matched cohort study was performed on women with lupus from 20...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Wu LS,Liu PH,Lin YS,Lin CP,Chang CJ,Chu PH

    更新日期:2014-01-01 00:00:00

  • Bioactivity of prolactin in systemic sclerosis.

    abstract:OBJECTIVES:To evaluate basal serum prolactin (PRL) levels in systemic sclerosis (SSc) patients with different degrees of skin involvement, and investigate its relationship with some of the clinical and serological parameters of the disease. METHODS:Basal serum PRL was measured in 44 SSc patients (38 F, 6 M) using a ra...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: La Montagna G,Meli R,Criscuolo T,D'Angelo S,Valentini G

    更新日期:2004-03-01 00:00:00

  • Digital ulcers score: a scoring system to assess digital ulcers in patients suffering from systemic sclerosis.

    abstract:OBJECTIVES:To develop a standardized scoring system to assess the severity of DUs in SSc patients and correlate it with functional outcomes. METHODS:In this cross-sectional, longitudinal study in SSc patients with DUs (n=65) we developed a digital ulcers score (DUS) for the assessment of DUs. DUS and the ABILHAND scor...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Ahrens HC,Siegert E,Tomsitz D,Mattat K,March C,Worm M,Riemekasten G

    更新日期:2016-09-01 00:00:00

  • Sexual activity and functioning in female scleroderma patients.

    abstract:OBJECTIVE:Few studies exist on sexual activity and functioning in female patients with systemic sclerosis (SSc, scleroderma). We studied the patient-reported impact of SSc on sexual functioning among female patients. METHODS:101 SSc patients completed the Short Form-36 (SF-36), the Female Sexual Functioning Index (FSF...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Impens AJ,Rothman J,Schiopu E,Cole JC,Dang J,Gendrano N,Rosen RC,Seibold JR

    更新日期:2009-05-01 00:00:00

  • Biosimilars in rheumatology: pharmacological and pharmacoeconomic issues.

    abstract::Rheumatoid arthritis (RA) societal costs are high because the disease may cause not only restricted joint mobility, chronic pain, fatigue, and functional disability, but also psychological distress. Direct health care costs represent about one-fourth of all costs and are prevalently represented by in-patient care expe...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Lapadula G,Ferraccioli GF

    更新日期:2012-07-01 00:00:00

  • Histological criteria of Sjögren's syndrome in scleroderma.

    abstract::33 patients with scleroderma, xerostomia and xerophthalmia underwent biopsy of 3 to 5 labial salivary glands. Histological and ultrastructural study were systematically performed on the salivary gland specimen. In 27 patients, sclerosis was the main feature: it was an active fibrosis, with numerous secreting fibroblas...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Janin A,Gosselin B,Gosset D,Hatron PY,Sauvezie B

    更新日期:1989-03-01 00:00:00

  • Can routine clinical measures predict ultrasound-determined synovitis and remission in rheumatoid arthritis patients?

    abstract:OBJECTIVES:The purpose of this study was to determine if routine clinical measures can predict the presence and severity of ultrasound synovitis in rheumatoid arthritis (RA) patients. METHODS:Bilateral 1-5 MCP (metacarpopharangeal) and wrist joints were examined using power Doppler (PD) ultrasound (US). Correlations b...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Nemoto T,Ogasawara M,Matsuki Y,Murayama G,Yamada Y,Sugisaki N,Ando S,Minowa K,Kon T,Tada K,Matsushita M,Yamaji K,Tamura N,Takasaki Y

    更新日期:2014-01-01 00:00:00

  • Cutaneous vasculitis associated with severe bacterial infections. A study of 27 patients from a series of 766 cutaneous vasculitis.

    abstract:OBJECTIVES:To assess the clinical spectrum of severe bacterial infections presenting as cutaneous vasculitis (CV) in a defined population. METHODS:Unselected series of 766 patients with CV diagnosed at a single university referral center. RESULTS:An underlying severe bacterial infection was diagnosed in 27 (22 men/5 ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 杂志文章

    doi:

    authors: Loricera J,Blanco R,Hernández JL,Calvo-Río V,Ortiz-Sanjuán F,Mata C,Rueda-Gotor J,Álvarez L,González-Vela MC,González-López MA,Armesto S,Pina T,González-Gay MA

    更新日期:2015-03-01 00:00:00

  • Vitamin D levels in children with familial Mediterranean fever.

    abstract:: ...

    journal_title:Clinical and experimental rheumatology

    pub_type: 评论,信件

    doi:

    authors: Onur H,Kasapcopur O

    更新日期:2017-05-01 00:00:00