Capillary microscopy was performed on 19 patients with eoslnophilic fasciitis. These patients were compared with 13 individuals with progressive systemic sclerosis (scleroderma). Capillary patterns were normal in 16 of 19 (84%) eosinophilic fasciitis patients; 3 exhibited either borderline or nonspe
Circulating immune complexes in eosinophilic fasciitis
β Scribed by James R. Seibold; Gerald P. Rodnan; Thomas A. Medsger Jr; Alan Winkelstein
- Publisher
- John Wiley and Sons
- Year
- 1982
- Tongue
- English
- Weight
- 566 KB
- Volume
- 25
- Category
- Article
- ISSN
- 0004-3591
No coin nor oath required. For personal study only.
β¦ Synopsis
Abstract
Serum immune complexes were measured in 22 patients with eosinophilic fasciitis, 8 of whom had serial determinations. Elevated levels were found by Raji cell radioimmunoassay in 14 (64%) patients, by agarose gel electrophoresis in 13 (59%), and by C1q agglutinationβinhibition in 9 (41%). Elevated levels by Raji cell assay were present more frequently at times of active disease [17 of 22 sera (77%)] than at times of inactive disease [2 of 24 (8%) (P<0.0005)] and were more closely correlated with disease activity than were eosinophilia, hypergammaglobulinemia, or increased erythrocyte sedimentation rate.
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Studies i n experimental animals have shown t h a t c i r c u l a t i n g , l a r g e -l a t t i c e d immune complexes c o n t a i n i n g IgG antibodies a r e e f f e c t i v e l y removed by Kupffer c e l l s . The removal of immune complexes i s a l s o i n f l uenced by the nature o f antigens
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