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arthralgia;anti-CCP Article Summary

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The role of the shared epitope in arthralgia with anti-cyclic citrullinated peptide antibodies (anti-CCP), and its effect on anti-CCP levels
Annals of Rheumatic Diseases, 05/16/08
Print     Email This Article     Save in My Library   Free Abstract
Bos WH et al. – The lower frequency of SE positivity in arthralgia patients compared to RA patients indicates that SE negative patients as a group go through a longer arthralgia phase, or alternatively have a lower risk for transition from antibodies to cyclic citrullinated peptide (anti-CCP) positive arthralgia to RA.

Methods
  • Pts presenting with both arthralgia and anti-CCP have an increased risk of developing RA
  • Aim of this study was to further characterize this patient group and shed more light on its relation with clinically manifest early arthritis and established RA
  • An immunogenetic and serological analysis was performed
  • In a group of 111 pts with anti-CCP positive arthralgia, anti-CCP levels and shared epitope (SE) status were determined
  • Data were compared to 125 and 128 anti-CCP-positive pts with early arthritis and established RA, respectively

Results
  • In anti-CCP-positive arthralgia pts, the frequency of SE allele positivity was lower vs anti-CCP positive early arthritis and established RA
  • Median anti-CCP levels were higher in the group of SE positive arthralgia pts vs the group of SE-negative arthralgia pts
  • Median anti-CCP levels were similar in the groups of SE positive arthralgia and arthritis pts

 

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