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Annals of the Rheumatic Diseases 1997;56:123-125; doi:10.1136/ard.56.2.123
Copyright © 1997 BMJ Publishing Group Ltd & European League Against Rheumatism.
Ann Rheum Dis 1997;56:123-125 ( February )

Concise reports

Antiperinuclear factors are present in polyarthritis before ACR criteria for rheumatoid arthritis are fulfilled Jean-Marie Berthelot,a Yves Maugars,a Anne Castagné,a Marie Audrain,b Alain Prosta

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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