Anti La(SSB) identifies a distinctive subgroup of systemic lupus erythematosus

Br J Rheumatol. 1988 Feb;27(1):27-31. doi: 10.1093/rheumatology/27.1.27.

Abstract

The relevance of antibodies for La(SSB) as a marker of a distinctive systemic lupus erythematosus (SLE) subset was studied in 185 lupus patients. Anti La was detected in 39 (21%) and was accompanied invariably by anti Ro. Clinically, anti La-positive patients were distinguished by a later age of disease onset, and a low frequency of lupus nephritis. In common with other anti Ro-positive patients they showed a high frequency of keratoconjunctivitis sicca. Anti La identified patients with higher titres of anti Ro antibodies and was significantly associated with HLA-DR3. Serological markers such as these are useful for identifying more homogeneous populations of SLE patients for studies of aetiology and pathogenesis.

MeSH terms

  • Adult
  • Age Factors
  • Antibodies, Antinuclear / analysis
  • Antibodies, Antinuclear / immunology*
  • DNA / immunology
  • HLA-DR Antigens / analysis
  • Humans
  • Keratoconjunctivitis Sicca / complications
  • Kidney Diseases / complications
  • Lupus Erythematosus, Systemic / classification*
  • Lupus Erythematosus, Systemic / complications
  • Lupus Erythematosus, Systemic / immunology
  • Middle Aged

Substances

  • Antibodies, Antinuclear
  • HLA-DR Antigens
  • SS-A antibodies
  • SS-B antibodies
  • DNA