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合并抗SSA抗体阳性的多发性硬化患者临床特点

The clinical characteristics of multiple sclerosis patients with positive anti-SSA antibody

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目的 探讨合并抗SSA抗体阳性的多发性硬化(MS)患者临床特点.方法 回顾性分析2011年12月至2020年5月北京天坛医院住院的抗SSA抗体阳性患者,符合MS诊断的患者纳入到本研究.按照性别、年龄1∶2比例匹配同时期住院的抗SSA抗体阴性的MS患者,比较2组患者的临床特点差异.本研究使用SPSS 24.0软件进行数据分析,用Shapiro-Wilk检验判断计量资料是否符合正态分布;非正态分布的计量资料组间比较使用Mann-Whitney U检验;分类资料的组间比较采用Fisher确切概率法.结果 抗SSA抗体阳性住院患者785例,其中7例为MS患者,MS在抗SSA抗体阳性患者中的比例是0.89%.按照性别、年龄1∶2比例匹配同时期住院的抗SSA抗体阴性的MS患者14例.抗SSA抗体阳性的MS患者,与抗SSA抗体阴性的MS患者在ANA阳性、抗Ro-52抗体阳性的患者比例上,差异有统计学意义(6/7与0/14,P<0.001;4/7与0/14,P=0.006).2组患者在其他临床特征方面差异无统计学意义(P>0.05).结论 抗SSA阳性的MS患者中出现ANA阳性、抗Ro-52抗体阳性的比例较高.合并抗SSA抗体不影响MS患者临床特征,MS与抗SSA抗体阳性两者之间可能为共存关系.
Objective To investigate the clinical characteristics of multiple sclerosis(MS)patients with positive anti-SSA antibody.Methods The data of patients with positive anti-SSA antibody hospitalized in Beijing Tiantan Hospital between December 2011 and May 2020 were retrieved.Patients who fulfilled the diagnosis of MS were enrolled.MS patients with negative anti-SSA antibody hospitalized in the same period were matched based on gender and age in a ratio of 1∶2.The clinical characteristics of MS patients with positive anti-SSA antibody and those with negative anti-SSA antibody were compared.We used SPSS 24.0 statistical software to perform data analysis.The Shapiro-Wilk test was used to determine whether continuous variables conform to a normal distribution.The group differences of non-normal distribution of measurement data were analyzed by Mann-Whitney U test.Fisher exact probability method was used to compare the group differences of categorical variables.P<0.05 was considered statistically significant.Results There were 785 hospitalized patients with anti-SSA positivity.Among these,a total of 7 patients(0.89%)were diagnosed as MS.Fourteen MS patients with negative anti-SSA antibody were included with matched sex and age.There was a statistical significant difference in the frequency of positive antinuclear antibody(ANA)and anti-Ro-52 antibody between MS patients with positive anti-SSA antibody and those with negative anti-SSA(6/7 vs.0/14,P<0.001;4/7 vs.0/14,P=0.006,respectively).No statistical significant difference in other clinical features was detected between the two groups(P>0.05).Conclusion The frequency of ANA and anti-Ro-52 antibody positivity is significantly higher in MS patients with positive anti-SSA antibody.Our results suggest the presence of positive anti-SSA antibody has no affect on clinical features of MS.The relationship between MS and anti-SSA positivity may be incidently coexisted.

Multiple sclerosisSjögren's syndromeAnti-SSA antibody

曹晓宇、郭娟、杨雅然、于织波、周炜

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首都医科大学附属北京天坛医院风湿免疫科,100070北京

多发性硬化 干燥综合征 抗SSA抗体

2024

中华风湿病学杂志
中华医学会

中华风湿病学杂志

CSTPCD
影响因子:0.651
ISSN:1007-7480
年,卷(期):2024.28(7)
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