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IgG and IgA classes of anti-neutrophil cytoplasmic autoantibodies in a 13-year-old girl with recurrent Henoch-Schonlein purpura

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Abstract

We describe a 13-year-old girl with recurrent Henoch-Schonlein purpura whose symptoms were precipitated by upper respiratory tract infections. Her serum was positive for both IgG and IgA classes of anti-neutrophil cytoplasmic autoantibodies by immunofluorescence. The titers of both autoantibodies correlated with disease activity. The immunopathology underlying these findings is discussed.

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References

  1. Davies DJ, Moran JE, Niall JF, Ryan GB (1982) Segmental necrotizing glomerulonephritis with antineutrophil antibody: possible arbovirus aetiology? BMJ 285: 606

    Google Scholar 

  2. Woude FJ van der, Rasmussen N, Lobatto S, Wiik A, Permin H, Giessen M van der, Hem GK van der, The TH (1985) Autoantibodies against neutrophils and monocytes: tool for diagnosis and marker of disease activity in Wegener's granulomatosis. Lancet I: 425–429

    Google Scholar 

  3. Lockwood CM, Bakes D, Jones S, Whitaker KB, Moss DW, Savage CO (1987) Association of alkaline phosphate with an autoantigen recognized by circulating anti-neutrophil antibodies in systemic vasculitis. Lancet I: 716–720

    Google Scholar 

  4. Falk RJ, Jennette JC (1988) Anti0neutrophil cytoplasmic autoantibodies with specificity for myeloperoxidase in patients with systemic vasculitis and idiopathic necrotizing and crescentic glomerulonephritis. N Engl J Med 318: 1651–1657

    Google Scholar 

  5. Ronda N, Esnault VLM, Layward L, Feehally J, Lockwood CM (1991) Association between Henoch-Schonlein purpura and anti-neutrophil cytoplasm antibodies of IgA class. J Am Soc Nephrol 2: 603

    Google Scholar 

  6. Li L, Liu Z, Zhang J (1991) Circulating autoantibodies to neutrophil cytoplasmic antigens in patients with Henoch-Schonlein purpura and IgA nephropathy. J Am Soc Nephrol 3: 599

    Google Scholar 

  7. Wall Bake AWL van den, Daha MR, Woude FJ van der, Halma C, Schrama E, Es LA van (1989) IgA class anti-neutrophil cytoplasmic antibodies (IgA-ANCA) in primary IgA nephropathy. APMIS [Suppl] 6: 25–26

    Google Scholar 

  8. Saulsbury FT, Kirkpatrick RP, Bolton WK (1991) IgA anti-neutrophil cytoplasmic antibody in Henoch-Schonlein purpura. Am J Nephrol 11: 295–300

    Google Scholar 

  9. Savage COS, Winearls CG, Jones S, Marshall PD (1987) Prospective study of radioimmunoassay for antibodies against neutrophil cytoplasm in diagnosis of systemic vasculitis. Lancet I: 1389–1393

    Google Scholar 

  10. Sams WM Jr (1988) Immunologic aspects of cutaneous vasculitis. Semin Dermatol 7: 140–148

    Google Scholar 

  11. Camilleri M, Pusey CD, Chadwick VS, Rees AJ (1983) Gastrointestinal manifestations of systemic vasculitis. Q J Med 52: 141–149

    Google Scholar 

  12. Savage COS, Winearls CG, Evans DJ, Rees AJ, Lockwood CM (1985) Microscopic polyarteritis: presentation, pathology, and prognosis. Q J Med 56: 467–483

    Google Scholar 

  13. Sams WM Jr, Thorne EG, Small P, Mass MF, McIntosh RM, Ray E (1976) Leukocytoclastic vasculitis. Arch Dermatol 112: 219–226

    Google Scholar 

  14. Hale HM van, Gibson LE, Schroeter AL (1986) Henoch-Schonlein vasculitis: direct immunofluorescence study of uninvolved skin. Am Acad Dermatol 15: 665–670

    Google Scholar 

  15. Falk RJ, Terrell RS, Charles LA, Jennette JC (1990) Anti-neutrophil cytoplasmic autoantibodies induce neutrophil to degranulate and produce oxygen radicals in vitro. Proc Natl Acad Sci USA 87: 4115–4119

    Google Scholar 

  16. Ewert B, Falk RJ, Jennette JC (1991) Anti-neutrophil cytoplasmic antibodies stimulate neutrophils to injure endothelial monolayers in vitro. Am J Kidney Dis 18: 203–204

    Google Scholar 

  17. Shakib F (1987) Aspects of the pathological significance of IgG4. Exp Clin Immunogenet 4: 193

    Google Scholar 

  18. Spiegelberg HL (1990) Biological role of different antibody classes. Int Arch Allergy Appl Immunol 90: 22

    Google Scholar 

  19. Brouwer E, Cohen Tervaert JW, Horst G, Huitema MG, Giessen M van der, Limburg PC, Kallenberg CGM (1991) Predominance of IgG1 and IgG4 subclasses of anti-neutrophil cytoplasmic autoanibodies (ANCA) in patients with Wegener's granulomatosis and clinically related disorders. Clin Exp Immunol 83: 379–386

    Google Scholar 

  20. O'Donoghue D, Nusbaum P, Halbwachs-Mercarelli L, Lesavre P (1990) Anti-myeloperoxidase antibodies of IgG isotype in IgA nephropathy. APMIS [Suppl] 19: 33

    Google Scholar 

  21. Knight JF (1990) The rheumatic poison: a survey of some published investigations of the immunopathogenesis of Henoch-Schonlein purpura. Pediatr Nephrol 4: 533–541

    Google Scholar 

  22. Wall Bake AWL van den, Lobatto S, Jonges I, Daha MR, Es LA van (1987) IgA antibodies directed against cytoplasmic antigens of polymorphonuclear leukocytes in patients with Henoch-Schonlein purpura. Adv Exp Med Biol 216B: 1593–1598

    Google Scholar 

  23. Falk RJ (1990) ANCA-associated renal disease. Kidney Int 38: 998–1010

    Google Scholar 

  24. Saulsbury FT (1986) IgA rheumatoid factor in Henoch-Schonlein purpura. J Pediatr 108: 71–76

    Google Scholar 

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Lin, JJ., Stewart, C.L., Kaskel, F.J. et al. IgG and IgA classes of anti-neutrophil cytoplasmic autoantibodies in a 13-year-old girl with recurrent Henoch-Schonlein purpura. Pediatr Nephrol 7, 143–146 (1993). https://doi.org/10.1007/BF00864379

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  • DOI: https://doi.org/10.1007/BF00864379

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