Concise reports
Antiperinuclear factors are present in polyarthritis before ACR
criteria for rheumatoid arthritis are fulfilled
a Hôtel-Dieu, CHU Nantes, BP
1005, 44035 Nantes Cedex 01, France: Service de Rhumatologie, b Laboratoire d'Immunologie
Correspondence to: and reprint requests to: Dr J-M Berthelot, Service de Rhumatologie, Hôtel-Dieu, CHU Nantes, BP 1005, 44035 Nantes Cedex 01, France.
Accepted for publication 18 November 1996
OBJECTIVE
To show that antiperinuclear factor
(APF) may be useful for the diagnosis of rheumatoid arthritis at a time
when the American College of Rheumatology (ACR) criteria are not yet fulfilled.
METHODS
Testing for APF-IgG (1:100 threshold) and
rheumatoid factors (RF) was done in 60 patients with polyarthritis of
recent onset during a three year follow up.
RESULTS
At the end of the study, 21/40 rheumatoid
arthritis were positive for RF and 31/40 for APF, including 18/40 cases
(45%) in which ACR criteria were not yet fulfilled.
CONCLUSIONS
APF are useful in the diagnosis of
early rheumatoid arthritis.
© 1997 by Annals of the Rheumatic Diseases
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