Longitudinal study of circulating gastric antibodies in pernicious anaemia.

Abstract:

:Temporal changes in gastric antibody response were investigated in 113 (51 men, 62 women) patients with confirmed pernicious anaemia. Their ages ranged from 31-92 years (mean (SD 13.2) 66). At diagnosis, parietal cell antibody and intrinsic factor antibody were detected in 90.9% and 39.1% of all patients, respectively. When the tests were repeated after a mean follow up of 70 months (range 14-137), parietal cell antibody and intrinsic factor antibody were positive in 82.8% and 58.7%, respectively. There was a definite but not significant trend for the organ specific parietal cell antibody to disappear; intrinsic factor antibody became more positive. These results may indicate that with progressive parietal cell destruction, the antigen is no longer available to sustain an immunological response. On the other hand, this hypothesis does not explain the increased prevalence of intrinsic factor antibody which is also a product of parietal cells.

journal_name

J Clin Pathol

authors

Davidson RJ,Atrah HI,Sewell HF

doi

10.1136/jcp.42.10.1092

subject

Has Abstract

pub_date

1989-10-01 00:00:00

pages

1092-5

issue

10

eissn

0021-9746

issn

1472-4146

journal_volume

42

pub_type

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