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Autoantibody detection is not recommended for chronic pancreatitis: a cross-sectional Study of 557 patients.


ABSTRACT:

Background

Autoimmune factor was regarded as one of the risk factors in the pathogenesis of chronic pancreatitis (CP), especially for autoimmune pancreatitis (AIP). However, whether autoimmune factor plays a role in non-AIP CP or not was unknown.

Methods

Hospitalized patients with non-AIP CP from January 2010 to October 2016 were detected for 22 autoantibodies at the time of hospital admission. Autoantibodies with frequency?>?0.5% were enrolled to calculate the frequency in historial healthy controls through literature search in PubMed. Differentially expressed autoantibodies were determined between patients and historial healthy controls, and related factors were identified by multivariate logistic regression analysis.

Results

In a total of 557 patients, 113 cases were detected with 19 kinds of positive autoantibodies, among them anti-?2-glycoprotein I (?2-GPI) antibody was most frequent (9.16%). Compared with historial healthy controls, the frequencies of serum ?2-GPI and anti SS-B antibody in patients were significantly higher, while frequencies of anti-smooth muscle antibody and anticardiolipin antibody were significantly lower (all P?ConclusionsFour autoantibodies were expressed differentially between patients with non-AIP CP and historial healthy controls. Due to limited significance for diagnosis and treatment of chronic pancreatitis, autoantibodies detection is not recommended conventionally unless suspected of AIP.

SUBMITTER: Zeng XP 

PROVIDER: S-EPMC6376735 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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<h4>Background</h4>Autoimmune factor was regarded as one of the risk factors in the pathogenesis of chronic pancreatitis (CP), especially for autoimmune pancreatitis (AIP). However, whether autoimmune factor plays a role in non-AIP CP or not was unknown.<h4>Methods</h4>Hospitalized patients with non-AIP CP from January 2010 to October 2016 were detected for 22 autoantibodies at the time of hospital admission. Autoantibodies with frequency > 0.5% were enrolled to calculate the frequency in histor  ...[more]

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