Features of systemic sclerosis-rheumatoid arthritis overlap syndrome (SS-RA overlap syndrome)

Autor: O. V. Desinova, M. N. Starovoytova, I. A. Guseva, A. A. Novikov, E. N. Alexandrova, N. G. Guseva
Jazyk: ruština
Rok vydání: 2016
Předmět:
Zdroj: Научно-практическая ревматология, Vol 45, Iss 4, Pp 18-23 (2016)
Druh dokumentu: article
ISSN: 1995-4484
1995-4492
DOI: 10.14412/1995-4484-2007-18-23
Popis: Objective. To reveal clinico-laboratory, immunologic and immunogenetic features of systemic sclerosis-rheumatoid arthritis overlap syndrome (SS-RA).Material and methods. 32 pts with SS-RA (1 male, 31 female) aged 22 to 74 years with disease onset at 18 to 69 years and disease duration from 1 to 35 years were included. Complex laboratory and instrumental examination was performed including nailfold capillaroscopy. A part of pts was also evaluated with magnetic resonance imaging of hands. Serum level of rheumatoid factor, antinuclear factor, circulating immune complexes, C-reactive protein, antibodies to cyclic citrullinated peptide (ACCP) was evaluated. Genotyping of DRB1 alleles was performed.Results. Characteristic features of SS-RA were prevalence of limited skin damage, less prominent peripheral and visceral symptoms of SS, presence of anti-topoisomerase antibodies and erosive arthritis, high laboratory and immunological activity, more frequent association with DRB1*01.Conclusion. SS-RA possesses its own clinical features and can be considered as a distinct subtype of SS.
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