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The prevalence and possible significance of immuno globulin d granulocyte specific anti nuclear antibodies in neutropenic and nonneutropenic cases of rheumatoid arthritis

, : The prevalence and possible significance of immuno globulin d granulocyte specific anti nuclear antibodies in neutropenic and nonneutropenic cases of rheumatoid arthritis. Acta Pathologica et Microbiologica Scandinavica Section C Immunology 86(1): 19-22

Sera from 21 rheumatoid arthritis [RA] patients with accompanying neutropenia (.ltoreq. 2000 neutrophils/.mu.l) and 45 RA patients without neutropenia were studied for the occurrence of Ig[immunoglobulin]D granulocyte-specific antinuclear antibodies. Such antibodies were found in 67% of the neutropenic and 18% of the non-neutropenic cases (P < 0.001). The titers of IgD granulocyte-specific antinuclear antibodies varied independently of the titers of IgD and complement-fixing granulocyte-specific antinuclear antibodies, but showed some covariation with granulocyte-specific antinuclear antibodies of the IgA and IgM classes most probably reflecting a broad polyclonal antibody response to phagocyte nuclear antigens in the serologically highly active neutropenic cases. Gel filtration studies on selected sera containing IgD granulocyte-specific antinuclear antibodies indicated participation of these antibodies in immune complexes. IgD granulocyte-specific antinuclear antibodies may have some significance for the rheumatoid inflammatory processes.

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