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Neuropsychiatric lupus and infectious triggers

dc.creatorZandman-Goddard, Gspa
dc.creatorBerkun, Yspa
dc.creatorBarzilai, Ospa
dc.creatorBoaz, Mspa
dc.creatorRam, Mspa
dc.creatorAnaya, Juan-Manuelspa
dc.creatorShoenfeld, Yspa
dc.date.accessioned2020-08-28T15:47:56Z
dc.date.available2020-08-28T15:47:56Z
dc.date.created2008-05-01spa
dc.description.abstractInfections can act as environmental triggers inducing or promoting systemic lupus erythematosus (SLE) in genetically predisposed individuals. The aim of the present study was to compare the titres of antibodies (Abs) to infectious agents with neuropsychiatric (NPSLE) clinical manifestations. The sera of 260 individuals (120 patients with SLE and 140 geographic controls) were evaluated for the titres of Epstein bar virus (EBV), cytomegalovirus (CMV), toxoplasma, rubella and syphilis Abs using the BioPlex 2200 Multiplexed Immunoassay method (BioRad) and by the ELISA method for Helicobacter pylori and Hepatitis B core Ag. All BioPlex 2200 kits used were in developmental stages. Data analysis was performed using SPSS 9.0 statistical analysis software (SPSS Inc., Chicago, IL, USA, 1999). Correlation analysis indicated that rubella IgM Ab titres were marginally, positively associated with psychosis (P = 0.09). No other associations were detected between the 17 infectious Abs and five NP manifestations. When the positivity cut-off for anti-rubella IgM Abs was set at three standard deviations above normal, three positive subjects were identified: one patient with psychosis and one with depression, for a total NPSLE prevalence of 33.3%. On the contrary, the prevalence of NPSLE in the remaining subjects was 6.5%. Marginally significant correlations between elevated titres of rubella IgM Ab with psychosis and depression were found. Although this nearly 5-fold increase is not statistically significant, it appears that in a larger sample size, significance would be reached. This is the first study reported that examined the correlation of NPSLE manifestations with anti-infectious Abs.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1177/0961203308090017
dc.identifier.issnISSN: 0961-2033
dc.identifier.issnEISSN: 1477-0962
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/28310
dc.language.isoengspa
dc.publisherSAGE Publicationsspa
dc.relation.citationEndPage384
dc.relation.citationIssueNo. 5
dc.relation.citationStartPage380
dc.relation.citationTitleLupus
dc.relation.citationVolumeVol. 17
dc.relation.ispartofLupus, ISSN: 0961-2033;EISSN: 1477-0962, Vol. 17, No. 5 (2008); pp. 380-384spa
dc.relation.urihttps://journals.sagepub.com/doi/10.1177/0961203308090017spa
dc.rights.accesRightsinfo:eu-repo/semantics/restrictedAccess
dc.rights.accesoRestringido (Acceso a grupos específicos)spa
dc.sourceLupusspa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subject.keywordLupus erythematosus (SLE)spa
dc.subject.keywordAntibodiesspa
dc.subject.keywordInfectious triggersspa
dc.titleNeuropsychiatric lupus and infectious triggersspa
dc.title.TranslatedTitleLupus neuropsiquiátrico y desencadenantes infecciososspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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