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Observations on cryoglobulin testing: I. The association of cryoglobulins containing rheumatoid factors with manifestation of cryoglobulinemic vasculitis.

AbstractOBJECTIVE:
To investigate the results of mixed cryoglobulin tests performed on patients with and without hepatitis C virus (HCV) infection, to determine whether type II cryoglobulins containing rheumatoid factor (Type II-RF) were associated with cryoglobulinemic vasculitis.
METHODS:
The cryoglobulin test protocol differed from the routine protocol. In addition to determination of both cryoglobulin concentration and immunoglobulin composition, the presence or absence of RF concentrated in the cryoglobulins was determined.
RESULTS:
A qualitative and quantitative association of Type II-RF cryoglobulins with cryoglobulinemic vasculitis was present among HCV-infected patients.
CONCLUSION:
Detection and quantification of Type II-RF may enhance clinical monitoring of cryoglobulinemic vasculitis in HCV-infected patients.
AuthorsFrancesco G De Rosa, Vincent Agnello
JournalThe Journal of rheumatology (J Rheumatol) Vol. 36 Issue 9 Pg. 1953-5 (Sep 2009) ISSN: 0315-162X [Print] Canada
PMID19531750 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
Chemical References
  • Cryoglobulins
  • Immunoglobulin G
  • Immunoglobulin M
  • Rheumatoid Factor
Topics
  • Adult
  • Aged
  • Cryoglobulinemia (blood, etiology)
  • Cryoglobulins (metabolism)
  • Female
  • Hematologic Tests
  • Hepatitis C (blood, complications)
  • Humans
  • Immunoglobulin G (blood)
  • Immunoglobulin M (blood)
  • Male
  • Middle Aged
  • Predictive Value of Tests
  • Retrospective Studies
  • Rheumatoid Factor (blood)
  • Vasculitis (blood, etiology)

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