PMID- 8258234 OWN - NLM STAT- MEDLINE DCOM- 19940119 LR - 20220410 IS - 0770-3198 (Print) IS - 0770-3198 (Linking) VI - 12 IP - 3 DP - 1993 Sep TI - Anti-Sm: its predictive value in systemic lupus erythematosus. PG - 350-3 AB - The clinical manifestations of 131 rheumatic disease patients with anti-Sm antibody were studied. A variety of standard tests was utilized in the study, namely, the FANA test with mouse kidney as substrate for the assay of ANA, the Crithidia test for anti-double stranded DNA (anti-dsDNA) and double immunodiffusion for detecting antibodies to extractable nuclear antigens. The patients were grouped according to the presence of anti-Sm alone, or anti-Sm with some other antibodies. There were 17 with anti-Sm alone; 55 with anti-Sm+anti-RNP; 15 with anti-Sm+anti-dsDNA; and 44 with anti-Sm+anti-RNP. The result of our study showed that although anti-Sm could be found in other diseases, it was exclusively detected in SLE only if anti-dsDNA was also present. Further, the SLE patients with anti-Sm alone had more frequent central nervous system manifestations than other groups of patients. The renal manifestation was observed more frequently in the group of SLE patients with anti-Sm+anti-dsDNA (92.9%). Among other major manifestations, haematologic involvement had a tendency to be less common in the group of patients with anti-Sm alone. The study concludes that the presence of anti-Sm antibody may be of some value to predict the clinical outcome. FAU - Janwityanuchit, S AU - Janwityanuchit S AD - Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. FAU - Verasertniyom, O AU - Verasertniyom O FAU - Vanichapuntu, M AU - Vanichapuntu M FAU - Vatanasuk, M AU - Vatanasuk M LA - eng PT - Journal Article PL - Germany TA - Clin Rheumatol JT - Clinical rheumatology JID - 8211469 RN - 0 (Antibodies, Antinuclear) RN - 0 (Autoantigens) RN - 0 (Ribonucleoproteins, Small Nuclear) RN - 0 (snRNP Core Proteins) RN - 9007-49-2 (DNA) SB - IM MH - Antibodies, Antinuclear/*analysis MH - Autoantigens/*immunology MH - DNA/immunology MH - Humans MH - Lupus Erythematosus, Systemic/complications/diagnosis/*immunology MH - Predictive Value of Tests MH - Rheumatic Diseases/diagnosis/immunology MH - *Ribonucleoproteins, Small Nuclear MH - Skin Diseases/etiology MH - snRNP Core Proteins EDAT- 1993/09/01 00:00 MHDA- 1993/09/01 00:01 CRDT- 1993/09/01 00:00 PHST- 1993/09/01 00:00 [pubmed] PHST- 1993/09/01 00:01 [medline] PHST- 1993/09/01 00:00 [entrez] AID - 10.1007/BF02231577 [doi] PST - ppublish SO - Clin Rheumatol. 1993 Sep;12(3):350-3. doi: 10.1007/BF02231577.