The Prevalence of Autoantibodies in Complex Regional Pain Syndrome Type I

Autoimmunity has been suggested as one of the pathophysiologic mechanisms that may underlie complex regional pain syndrome (CRPS). Screening for antinuclear antibodies (ANA) is one of the diagnostic tests, which is usually performed if a person is suspected to have a systemic autoimmune disease. Ant...

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Main Authors: Maaike Dirckx, Marco W. J. Schreurs, Marissa de Mos, Dirk L. Stronks, Frank J. P. M. Huygen
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2015/718201
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author Maaike Dirckx
Marco W. J. Schreurs
Marissa de Mos
Dirk L. Stronks
Frank J. P. M. Huygen
author_facet Maaike Dirckx
Marco W. J. Schreurs
Marissa de Mos
Dirk L. Stronks
Frank J. P. M. Huygen
author_sort Maaike Dirckx
collection DOAJ
description Autoimmunity has been suggested as one of the pathophysiologic mechanisms that may underlie complex regional pain syndrome (CRPS). Screening for antinuclear antibodies (ANA) is one of the diagnostic tests, which is usually performed if a person is suspected to have a systemic autoimmune disease. Antineuronal antibodies are autoantibodies directed against antigens in the central and/or peripheral nervous system. The aim of this study was to compare the prevalence of these antibodies in CRPS patients with the normal values of those antibodies in the healthy population. Twenty seven (33%) of the 82 CRPS patients of whom serum was available showed a positive ANA test. This prevalence is significantly higher than in the general population. Six patients (7.3%) showed a positive result for typical antineuronal antibodies. This proportion, however, does not deviate from that in the general population. Our findings suggest that autoantibodies may be associated with the pathophysiology of CRPS, at least in a subset of patients. Further research is needed into defining this subset and into the role of autoantibodies in the pathogenesis of CRPS.
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publishDate 2015-01-01
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series Mediators of Inflammation
spelling doaj-art-98d59ac38eb84d4ab752e789e0199b4f2025-02-03T01:03:44ZengWileyMediators of Inflammation0962-93511466-18612015-01-01201510.1155/2015/718201718201The Prevalence of Autoantibodies in Complex Regional Pain Syndrome Type IMaaike Dirckx0Marco W. J. Schreurs1Marissa de Mos2Dirk L. Stronks3Frank J. P. M. Huygen4Center for Pain Medicine, Erasmus MC, University Medical Center, Postbus 2040, 3000 CA Rotterdam, NetherlandsDepartment of Immunology, Erasmus MC, University Medical Center, Postbus 2040, 3000 CA Rotterdam, NetherlandsCenter for Pain Medicine, Erasmus MC, University Medical Center, Postbus 2040, 3000 CA Rotterdam, NetherlandsCenter for Pain Medicine, Erasmus MC, University Medical Center, Postbus 2040, 3000 CA Rotterdam, NetherlandsCenter for Pain Medicine, Erasmus MC, University Medical Center, Postbus 2040, 3000 CA Rotterdam, NetherlandsAutoimmunity has been suggested as one of the pathophysiologic mechanisms that may underlie complex regional pain syndrome (CRPS). Screening for antinuclear antibodies (ANA) is one of the diagnostic tests, which is usually performed if a person is suspected to have a systemic autoimmune disease. Antineuronal antibodies are autoantibodies directed against antigens in the central and/or peripheral nervous system. The aim of this study was to compare the prevalence of these antibodies in CRPS patients with the normal values of those antibodies in the healthy population. Twenty seven (33%) of the 82 CRPS patients of whom serum was available showed a positive ANA test. This prevalence is significantly higher than in the general population. Six patients (7.3%) showed a positive result for typical antineuronal antibodies. This proportion, however, does not deviate from that in the general population. Our findings suggest that autoantibodies may be associated with the pathophysiology of CRPS, at least in a subset of patients. Further research is needed into defining this subset and into the role of autoantibodies in the pathogenesis of CRPS.http://dx.doi.org/10.1155/2015/718201
spellingShingle Maaike Dirckx
Marco W. J. Schreurs
Marissa de Mos
Dirk L. Stronks
Frank J. P. M. Huygen
The Prevalence of Autoantibodies in Complex Regional Pain Syndrome Type I
Mediators of Inflammation
title The Prevalence of Autoantibodies in Complex Regional Pain Syndrome Type I
title_full The Prevalence of Autoantibodies in Complex Regional Pain Syndrome Type I
title_fullStr The Prevalence of Autoantibodies in Complex Regional Pain Syndrome Type I
title_full_unstemmed The Prevalence of Autoantibodies in Complex Regional Pain Syndrome Type I
title_short The Prevalence of Autoantibodies in Complex Regional Pain Syndrome Type I
title_sort prevalence of autoantibodies in complex regional pain syndrome type i
url http://dx.doi.org/10.1155/2015/718201
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