Anti-Ribosomal-P Antibody Association with Neuropsychiatric Lupus in Sudanese Patients Attending Rheumatology Clinic in Omdurman Military Hospital.

ANA SLE anti-histone antibodies anti-ribosomal-P antibodies neuropsychiatric

Journal

Open access rheumatology : research and reviews
ISSN: 1179-156X
Titre abrégé: Open Access Rheumatol
Pays: New Zealand
ID NLM: 101688698

Informations de publication

Date de publication:
2022
Historique:
received: 12 09 2022
accepted: 16 11 2022
entrez: 28 11 2022
pubmed: 29 11 2022
medline: 29 11 2022
Statut: epublish

Résumé

To assess and establish the relationship between neuropsychiatric systemic lupus erythematosus (NPSLE) involvement and serological biomarkers like antiribosomal-P antibodies. This is an analytical cross-sectional hospital-based study conducted on patients attending Omdurman Military Hospital from July 2019 to December 2019. A total of 90 patients were enrolled, 30 of whom had NPSLE compared with 60 SLE patients without NPSLE. SLE diagnosis was established based on the revised SLICC criteria (presence of at least 4 criteria) for SLE classification, with neuropsychiatric manifestations defined based on the ACR nomenclature. The immunological examination results have been performed by (ELISA immune-enzymatic method, immunofluorescence, and Western immunoblotting test). SPSS v 21.0 software was utilised for data analysis. NPSLE patients exhibited +ve ANA in 96.7% vs 75% in non-NPSLE (P-value = 0.008), antiribosomal-P antibodies (46.7% vs 20%; P-value = 0.0001), anti-nucleosome antibodies (26.7% vs 5%; P-value = 0.005), and anti-histones antibodies (40% vs 20%; P-value = 0.04). ANA antibodies were significantly associated with neurological manifestations as ANA antibodies were common in epilepsy (n = 9; 91%) and stroke (n = 8; 27.6%) (P-value < 0.001). Neuropsychiatric manifestation of systemic lupus erythematosus exhibits variable clinical manifestations. Neuropsychiatric manifestations of SLE are strongly associated with the anti-ribosomal P antibody presence and can be employed as a powerful diagnostic tool.

Identifiants

pubmed: 36440103
doi: 10.2147/OARRR.S387650
pii: 387650
pmc: PMC9697392
doi:

Types de publication

Journal Article

Langues

eng

Pagination

281-289

Informations de copyright

© 2022 Taha et al.

Déclaration de conflit d'intérêts

All authors report no conflicts of interest in this work.

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Auteurs

Ziryab Imad Taha (ZI)

Medical and Cancer Research Institute (MCRI), Department of Clinical Medicine, Nyala, Sudan.
University of Bahri, Department of Internal Medicine, Khartoum, Sudan.
Sudan Medical Specialization Board, Department of Internal Medicine, Khartoum, Sudan.
Rheumatology Department, Ziryab Research Group, Khartoum, Sudan.

Israa Abdelghani Awad Ibrahim (IA)

Sudan Medical Specialization Board, Department of Internal Medicine, Khartoum, Sudan.
Rheumatology Department, Ziryab Research Group, Khartoum, Sudan.

Salih Boushra Hamza (SB)

Rheumatology Department, Ziryab Research Group, Khartoum, Sudan.
Omdurman Islamic University, Department of Internal Medicine, Khartoum, Sudan.

Yassin A Abdalla (YA)

Rheumatology Department, Ziryab Research Group, Khartoum, Sudan.
Omdurman Islamic University, Department of Internal Medicine, Khartoum, Sudan.

Elnour M Elagib (EM)

Sudan Medical Specialization Board, Department of Internal Medicine, Khartoum, Sudan.
Rheumatology Department, Ziryab Research Group, Khartoum, Sudan.
Omdurman Military Hospital, Department of Rheumatology, Omdurman, Sudan.

Husam A M Ali (HAM)

Rheumatology Department, Ziryab Research Group, Khartoum, Sudan.
Fedail Hospital, Department of Neurology, Khartoum, Sudan.

Sara Joseph (S)

University of Medical Sciences and Technology, Department of Pharmacy, Khartoum, Sudan.

Jimmy William (J)

Rheumatology Department, Ziryab Research Group, Khartoum, Sudan.
Sligo University Hospital, Department of Haematology, Sligo, Ireland.

Classifications MeSH