Is undifferentiated seronegative spondyloarthropathy a forme fruste of reactive arthritis?

Aggarwal, A. ; Misra, R. ; Chandrasekhar, S. ; Prasad, K. N. ; Dayal, R. ; Ayyagari, A. (1997) Is undifferentiated seronegative spondyloarthropathy a forme fruste of reactive arthritis? Rheumatology, 36 (9). pp. 1001-1004. ISSN 1462-0324

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Undifferentiated spondyloarthropathy (USpa) may either represent a forme fruste of other spondyloarthropathies like reactive arthritis or be a different disease entity. To study the link between USpa and reactive arthritis, we studied the presence of IgA antibodies to Yersinia enterocolitica, Salmonella typhimurium, Shigella flexneri, Campylobacter jejuni and Chlamydia trachomatis in sera from 14 patients with USpa (European Spondyloarthropathy Study Group criteria) using ELISA. Escherichia coli was used as a control antigen. An OD value of more than the mean +/- 2 S.D. of 51 blood donors was considered positive. Five patients had elevated IgA antibodies to S. flexneri, while two patients each had elevated antibody levels to S. typhimurium and Chlamydia. No patient had elevated antibodies to Y. enterocolitica, C. jejuni and E. coli. Among 51 normals, 1, 4, 3, 2 and 3 had elevated antibodies to S. flexneri, S. typhimurium, Y. enterocolitica, C. jejuni and E. coli, respectively. Nine of 14 patients with USpa had antibodies to one of the bacteria implicated in reactive arthritis: of these, antibodies to Shigella were the most frequent. Thus, a proportion of patients with USpa may in fact have reactive arthritis.

Item Type:Article
Source:Copyright of this article belongs to Oxford University Press.
Keywords:Unclassifiable Spondyloarthropathy; Enteric Bacteria; Bacterial Antibodies; Chlamydia.
ID Code:95173
Deposited On:22 Oct 2012 10:53
Last Modified:22 Oct 2012 10:53

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