PMID- 7944507 OWN - NLM STAT- MEDLINE DCOM- 19941104 LR - 20201214 IS - 0003-987X (Print) IS - 0003-987X (Linking) VI - 130 IP - 10 DP - 1994 Oct TI - The autoantibody response to Ro/SSA in cutaneous lupus erythematosus. PG - 1262-8 AB - BACKGROUND AND DESIGN: Seventeen patients with subacute cutaneous lupus erythematosus (SCLE) were compared with 15 patients with discoid lupus erythematosus (DLE) to evaluate the relationship of 60- and 52-kd Ro/SSA autoantibodies to the clinical diagnosis and to evaluate assays for anti-Ro/SSA. RESULTS: All serum samples from patients with SCLE had precipitating anti-Ro/SSA antibodies in immunodiffusion, and all had high titer anti-60-kd Ro/SSA in enzyme-linked immunosorbent assay. Immunoblotting was inadequately sensitive for detecting anti-60-kd Ro/SSA. Fifteen patients with SCLE had anti-52-kd Ro/SSA (11 high titer, four low titer). Only one of the 15 patients with DLE had precipitating, high-titer anti-Ro/SSA. Nine other patients with DLE had low-titer anti-60-kd Ro/SSA, and four had low-titer anti-52-kd Ro-SSA. Low-titer anti-Ro/SSA did not confer an increased risk for photosensitivity in the DLE group. CONCLUSIONS: High-titer, precipitating antibodies to Ro/SSA are typical of SCLE and unusual in DLE. Low-titer, nonprecipitating antibodies to Ro/SSA are common in DLE and could be an indication of pathogenic factors shared with SCLE. However, low titers of anti-Ro/SSA do not confer a significant risk for SCLE skin lesions. For the purpose of clinical evaluation of skin disease, immunodiffusion assays for anti-Ro/SSA are cost-effective and informative. FAU - Lee, L A AU - Lee LA AD - Department of Dermatology, University of Oklahoma Health Sciences Center, Oklahoma City. FAU - Roberts, C M AU - Roberts CM FAU - Frank, M B AU - Frank MB FAU - McCubbin, V R AU - McCubbin VR FAU - Reichlin, M AU - Reichlin M LA - eng GR - AI 21568/AI/NIAID NIH HHS/United States GR - AR 31133/AR/NIAMS NIH HHS/United States GR - AR 32214/AR/NIAMS NIH HHS/United States PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Arch Dermatol JT - Archives of dermatology JID - 0372433 RN - 0 (Autoantigens) RN - 0 (RNA, Small Cytoplasmic) RN - 0 (RO60 protein, human) RN - 0 (Ribonucleoproteins) RN - 0 (SS-A antigen) SB - IM CIN - Arch Dermatol. 1994 Oct;130(10):1308-10. PMID: 7944515 MH - Autoantigens/blood/*immunology MH - Humans MH - Lupus Erythematosus, Cutaneous/blood/*immunology MH - Lupus Erythematosus, Discoid/immunology MH - *RNA, Small Cytoplasmic MH - Ribonucleoproteins/blood/*immunology EDAT- 1994/10/01 00:00 MHDA- 1994/10/01 00:01 CRDT- 1994/10/01 00:00 PHST- 1994/10/01 00:00 [pubmed] PHST- 1994/10/01 00:01 [medline] PHST- 1994/10/01 00:00 [entrez] PST - ppublish SO - Arch Dermatol. 1994 Oct;130(10):1262-8.