Anticardiolipin and antinuclear antibodies in epilepsy--a population-based cross-sectional study.

Abstract:

:Increased prevalence of autoantibodies has been suggested in patients with epilepsy. This study determined the presence of autoantibodies in a representative cohort of 960 patients with epilepsy. The frequency of antinuclear antibodies (ANA), immunoglobulin G class anticardiolipin antibodies (aCL) and anti-B2-glycoprotein I antibodies were studied in 960 consenting adult patients with epilepsy and in 580 population-based reference subjects identified from the Finnish Population Registry. Overall the frequencies of the autoantibodies studied did not differ between patients with epilepsy and reference subjects. aCL were present in 4.5% of the patients and in 5.0% of the reference subjects and 17% of both the patients and the reference subjects had antinuclear antibodies. However, patients with partial epilepsy for > or =30 years were three times more likely to have aCL than patients with partial epilepsy for <10 years. Patients with partial epilepsy and > or=1 seizure per month were 2.2 times more likely to have aCL than patients with partial epilepsy with <1 seizure per month. Moreover, ANA tended to be more frequent among patients with > or =1 seizure per month. No association was found between the major antiepileptic drugs and autoantibodies. Overall the frequencies of the autoantobodies studied were similar in the large epilepsy cohort and in matched reference subjects from the general population. However, a long duration of epilepsy and poor seizure control were associated with an increased presence of aCL in patients with partial epilepsy.

journal_name

Epilepsy Res

journal_title

Epilepsy research

authors

Ranua J,Luoma K,Peltola J,Haapala AM,Raitanen J,Auvinen A,Isojärvi J

doi

10.1016/j.eplepsyres.2003.12.004

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

13-8

issue

1

eissn

0920-1211

issn

1872-6844

pii

S0920121104000038

journal_volume

58

pub_type

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