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Ladinser, B; Rossipal, E; Pittschieler, K.
Endomysium antibodies in coeliac disease: an improved method.
Gut. 1994; 35(6):776-778 Doi: 10.1136/gut.35.6.776 [OPEN ACCESS]
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Abstract:
The ultra structural binding sites of endomysium antibodies have been studied on human umbilical cord tissue. The sensitivity and specificity of IgA endomysium antibodies were compared with recently described methods using basement membrane of smooth muscle of monkey oesophagus. Thirty adults affected by coeliac disease (10 in remission) and 75 healthy adult controls with normal intestinal mucosa (35 false antigliadin positive) were investigated. Sensitivity and correlation of endomysium antibodies with total villous atrophy in untreated coeliac disease patients were 100% on the human umbilical cord smooth muscles, and only 90% on the muscular layer of primate oesophagus. Indirect immunofluorescence was superior to peroxidase staining in detecting these IgA antibodies. The easy availability and enhanced testing sensitivity of the umbilical cord is an advance towards a better diagnostic tool for coeliac disease.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Aged -
Autoantibodies - analysis
Binding Sites, Antibody - analysis
Celiac Disease - diagnosis
Child - diagnosis
Child, Preschool - diagnosis
Female - diagnosis
Fluorescent Antibody Technique - diagnosis
Humans - diagnosis
Immunoglobulin A - analysis
Intestinal Mucosa - pathology
Male - pathology
Middle Aged - pathology
Muscle, Smooth - immunology
Muscle, Smooth, Vascular - immunology
Sensitivity and Specificity - immunology
Umbilical Cord - immunology

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