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Query: UMLS:C0024141 (
systemic lupus erythematosus
)
44,322
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
A 26-year-old woman with
systemic lupus erythematosus
developed massive rectal bleeding that failed to respond to medical treatment. X-rays and proctoscopy indicated that she had universal colitis. She underwent emergency subtotal colectomy because of a rapidly declining clinical course. The small intestine appeared normal. Pathological examination demonstrated a gangrenous large intestine, ischemic ulcerations, and extensive fibrinoid vasculitis that was typical of systemic
lupus
. The patient has had no further gastrointestinal complaints for 2 years since surgery.
Gastroenterology 1978
Dec
PMID:Diffuse ischemic colitis associated with systemic lupus erythematosus--response to subtotal colectomy. 71 Aug 67
A patient is presented with multiple manifestations of an autoimmune diathesis: immune thrombocytopenia, red cell aplasia, hyperthyroidism, a
lupus
-like syndrome, and an anti-i autoantibody, with inability to be transfused. Some of these entities are known to be commonly associated, but some are not, and it is unusual to find five of these phenomena in a single patient.
South Med J 1978
Dec
PMID:Immune thrombocytopenia, red cell aplasia, lupus, and hyperthyroidism. 72 41
Psychological and neurological assessment of patients with
systemic lupus erythematosus
has identified 15 with definite evidence of non-focal cerebral involvement. During the period of neuropsychiatric disease, cerebral blood flow was measured using 15O2 brain scans and sera were tested for the presence of 2 brain-reactive antibodies: antineuronal and lymphocytotoxic antibodies. 12 patients had psychiatric symptoms, while 13 had various neurological abnormalities. Striking abnormalities in cerebral blood flow were observed in 12 patients. All sera contained at least one brain-reactive antibody; 13 contained antineuronal antibody, although there was an inconsistent association between clinical features and antibody titre, while 12 contained lymphocytotoxic antibodies. According to these investigations the nature of the neuropsychiatric abnormalities would depend on both vascular and immunopathogenic mechanisms.
Schweiz Med Wochenschr 1978
Dec
16
PMID:[Neuropsychiatric manifestations in patients with systemic lupus erythematosus]. 73 25
Mice exhibiting a spontaneous
SLE
-like lethal autoimmunity (female NZB/W hybrids) were given monthly doses of cyclophosphamide (CPA) 240 mg/kg p.o. starting at four months of age. Antibodies to DNA and sheep red blood cells (SRBC) were measured as well as general well being of the mice. The CPA-treated group demonstrated a marked increased in survival compared to the untreated controls with reduction of anti-DNA antibody levels but only a slight inhibition of the anamnestic response to SRBC immunization.
Agents Actions 1978
Dec
PMID:Effect of pulse dose cyclophosphamide on the anamnestic immune response in NZB/W mice. 74 60
We describe a 30-year-old woman with
systemic lupus erythematosus
(
SLE
), in whom the only evidence of the disease, during the 10 years before diagnosis was established, was an accelerated erythrocyte sedimentation rate and a positive Wassermann test. Her disease was characterized by the presence of an anticoagulant without indication of bleeding, mixed cryoglobulinaemia, steroid-resistant renal damage, and persistent false-positive tests for syphilis. The relationship between these results and the presence of anticoagulant, mixed cryoglobulinaemia and renal damage in patients with
SLE
are discussed.
S Afr Med J 1978
Dec
16
PMID:Systemic lupus erythematosus associated with mixed cryoglobulinaemia and circulating anticoagulant. 74 55
Several series have suggested that pulmonary function abnormalities are common in
systemic lupus erythematosus
. However, only isolated studies have attempted to relate these abnormalities to immunological aspects of the diseases. In the present study respiratory symptoms, pulmonary function tests, and immunological data were reviewed in 22 patients with
systemic lupus erythematosus
. Seventeen subjects had either clinical evidence or abnormalities of lung function suggestive of pulmonary involvement. A restrictive ventilatory defect or reduction in pulmonary diffusing capacity for carbon monoxide was demonstrated in 14 of the patients only 4 of whom were dyspnoeic. There was no correlation between pulmonary involvement, co-existent renal
lupus
, and immunological abnormality.
Ann Rheum Dis 1978
Dec
PMID:Pulmonary involvement in systemic lupus erythematosus. 74 99
In 27 patients with
lupus
erythematodes diseminatus the determinations of the LE-cells according to the macromethod (Zimmer and Hargraves) and the micromethod (Mudrik and co-workers) were compared with the demonstration of antinuclear factors according to the indirect immunofluorescence and immune enzyme technique. The sensitiveness of the two last-mentioned immunomorphological methods is somewhat larger. In these cases the size of the titre of the antinuclear factor almost always correlates positively with the number of the LE-cells. For the purpose of the initial diagnostics and the judgment of the course a morphological method cannot be renounced, since in the acute episode a high consumption of the antinuclear factor the immunological methods negatively correlate with the number of the LE-cells. The immune enzyme technique is to be recommended on account of the smaller expenditure, permanence of the preparations and high sensitiveness as alternative method of the immunofluorescence technique. In the micromethod the large variation is opposite to the advantage of the slight quantity of blood and to an always existing evaluability. Investigations of the lymphocytes of patients with
lupus
erythematodes disseminatus by means of the lymphocyte transformation test and the determination of the B-cells with the help of the direct immune peroxidase technique refer to the close pathogenetic connections of cellular and humoral immune reactions in this disease.
Z Gesamte Inn Med 1975
Dec
01
PMID:[Immunodiagnostic methods in lupus erythematosus disseminatus]. 77 10
Sera from 29 patients with
systemic lupus erythematosus
(
SLE
), 60 cases of rheumatoid arthritis, 34 of myasthenia gravis (MG), 10 of scleroderma and 20 control sera were investigated for the occurrence of antibodies to native, double-stranded (ds) deoxyribonucleic acid (DNA). An immunofluorescence procedure recently elaborated by Aarden and coworkers, which utilizes the kinetoplast of the hemoflagellate Crithidia luciliae as substrate, was employed. In this kinetoplast, native, ds-DNA is concentrated as a single large network. Antibodies reacting with kinetoplasts were restricted to the
SLE
group, with the exception of one MG serum which also exhibited a distinct kinetoplast fluorescence. The antibody activity of the
SLE
sera could be completely inhibited by small amounts of DNA and abolished by deoxyribonuclease treatment of the substrate. These findings underline the specificity of the test system for anti-ds-DNA antibodies and the high disease-specificity of these antibodies for
SLE
. With respect to its ease and speed of performance this highly reliable and specific flagellate test surpasses other known tests for the detection of anti-ds-DNA antibodies.
Wien Klin Wochenschr 1975
Dec
26
PMID:[Kinetoplast of the flagellate crithidia luciliae: a suitable substrate for the detection of antibodies to native, double-stranded DNA in the indirect immuno-fluorescence test (author's transl)]. 77 3
Beginning with lesions of the capillary wall, rheumatoid arthritis is morphologically expressed by an aseptic inflammation of the synovia with following necrosis of the cartilage and the underlying bone tissue. Only little is known regarding the pathogenesis but most porbably immune mechansims are involved. There is evidence for the participation of type IV and type III-reactions i.e. sensitized lymphocytes as well as immune complexes. Equally the etiology of RA is totally unknown. Once the inflammatory process has reached some activity, in most cases it shows the character of a selfpertetuation as in other autoimmune diseases. Laboratory examinations include BSR, blood count, measurement of Fe, Cu, RF, complement, streptolysins, staphylolysins, ANA, and in doubtful cases synovial biopsy. Furthermore, effusion fluid of the joint may be examined for RF, ANA, complement, rhagocytes, crystals, protein content etc.--Among the collagen diseases sensu strictori,
systemic lupus erythematosus
is the most important. The underlying process may be characterized as vasculitis due to immune complexes and local activation of the complement system, the complexes containing native and/or denatured DNA, and antibodies mostly of the IgG class. Laboratory examinations include the demonstration of ANA but should concentrate on the measurement of DNA-antibodies using radioimmunological or at least a sensitive and specific immunofluorescence technique. The value of the various tests is discussed.
Monatsschr Kinderheilkd 1976
Dec
PMID:[Pathophysiology and laboratory diagnosis of collagen diseases (author's transl)]. 79
A modified 125I-labelled DNA-binding test was developed. By using an anionic detergent, 0-025% sodium dodecyl sulphate, the non-specific binding of DNA by basic proteins was completely eliminated, while the specific binding of DNA by anti-DNA antibodies was not interfered with. The level of DNA-binding activity in normal human sera was decreased in the modified DNA-binding test, while its sensitivity was similar to that of the Farr assay in presence of sera from
SLE
patients.
Clin Exp Immunol 1976
Dec
PMID:Determination of anti-DNA antibodies by a modified 125I-labelled DNA-binding test. Elimination of non-specific binding of DNA to non-immunoglobulin basic proteins by using an anionic detergent. 79 75
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