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001-es BibID:	BIBFORM002287
Első szerző:	Raivio, Tiina
Cím:	Performance of a new rapid whole blood coeliac test in adult patients with low prevalence of endomysial antibodies / Raivio T., Korponay-Szabó I., Collin P., Laurila K., Huhtala H., Kaartinen T., Partanen J., Mäki M., Kaukinen K.
Dátum:	2007
Megjegyzések:	In coeliac disease endomysial and transglutaminase autoantibodies are directed against the human autoantigen, transglutaminase. The conventional coeliac antibody tests are performed from serum samples in centralized laboratories. Aims. To evaluate a rapid and easy immunoglobulin A-class whole blood point-of-care test and its commercial application, the Biocard test, in coeliac autoantibody detection. Methods. In the whole blood point-of-care test transglutaminase is liberated from the red blood cells by haemolysis. Transglutaminase antibodies, if present, complex with the liberated antigen, and are visualized. Altogether 51 biopsy-proven untreated coeliac adult patients, 48 of the same patients after treatment, and 36 controls were tested. The point-of-care test results were compared with serum endomysial and transglutaminase antibody and Biocard test results and histology. Results. The whole blood point-of-care test was as sensitive (82%) as the serum endomysium test (80%) in detecting untreated coeliac disease while the serum transglutaminase antibody test was superior (88%). The tests had 100% specificity. A positive point-of-care test result seroconverted or the test reaction weakened in 90% of the treated coeliac patients. Biocard test-positive were 22 of the 24 tested untreated coeliac patients. Biocard test-negative were 15 of 19 controls. Conclusions. The whole blood rapid tests are as reliable as the conventional serological tests in detecting untreated coeliac disease and in coeliac disease diet monitoring.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Coeliac disease Point-of-care test Tissue transglutaminase Whole blood
Megjelenés:	Digestive and Liver Disease 39 : 12 (2007), p. 1057-1063. -
További szerzők:	Korponay-Szabó Ilma (1959-) (gyermekgyógyász) Collin, P. Laurila, Kaija Huhtala, Heini Kaartinen, Tanja Partanen, Jukka Mäki, Markku Kaukinen, Katri
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