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Late development of anti-La/SS-B antibodies in a patient with Sjogren's syndrome and high titer anti-Ro/SS-A antibodiesDivision of Rheumatology and Immunology, Departments of Medicine, and Microbiology and Immunology, the Thurston Arthritis Research Center and Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7280, USA
Division of Rheumatology and Immunology, Departments of Medicine, and Microbiology and Immunology, the Thurston Arthritis Research Center and Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7280, USA
Division of Rheumatology and Immunology, Departments of Medicine, and Microbiology and Immunology, the Thurston Arthritis Research Center and Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7280, USA
Department of Internal Medicine, Keio University School of Medicine, Tokyo, 160, Japan
Department of Internal Medicine, National Murayama Hospital, Tokyo, 208, Japan
Department of Internal Medicine, National Murayama Hospital, Tokyo, 208, Japan
Division of Rheumatology and Immunology, Departments of Medicine, and Microbiology and Immunology, the Thurston Arthritis Research Center and Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill, Chapel Hill, NC, 27599-7280, USA
Department of Internal Medicine, Keio University School of Medicine, Tokyo, 160, Japan The frequent coexistence of anti-Ro and anti-La autoantibodies is well described, however, there is little evidence of sequential development of these two autoantibodies. We report a case of typical Sjogren's syndrome with high titer anti-Ro antibodies, who subsequently developed anti-La antibodies later in the course. This case suggests that the anti-La anti bodies may actually follow the anti-Ro antibodies in some cases as hypothesized in the concept of linked set of autoantibodies, analogous to development of anti-Sm in certain anti-nRNP antibody positive SLE patients and animal models.
Key Words: anti-La antibodies anti-Ro antibodies Sjogren's syndrome antinuclear anti bodies
Lupus, Vol. 5, No. 4,
337-339 (1996) |
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