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本文以作者临床实践为基础,对目前临床应用较有实用价值的免疫检查、LE细胞、ANA(抗核抗体)、anti-ds DNAab、anti Smab、LBT(皮肤免疫荧光带试验)等的临床意义进行评价,并结合文献复习,对免疫复合物、补体、细胞免疫异常等检测的临床意义作了初步讨论。强调了ANA检查的高敏感性及抗ds DNA抗体、抗Sm抗体、非暴光“正常”皮肤LBT检查对本病早期诊断的高特异性。
Based on the clinical practice of the authors, the clinical significance of the immunoassay, LE cells, ANA (antinuclear antibody), anti-ds DNAab, anti Smab, LBT For evaluation, combined with literature review, the clinical significance of immune complexes, complement, cellular immune abnormalities and other tests made a preliminary discussion. The high sensitivity of ANA tests and the high specificity of anti-ds DNA antibodies, anti-Sm antibodies, non-exposed “normal” skin LBT tests for the early diagnosis of this disease have been highlighted.