INVESTIGATION OF THE ASSOCIATION BETWEEN ANTINUCLEAR ANTIBODIES, ANTI-DOUBLE STRANDED DNA RESULTS AND PERIPHERAL BLOOD CELL INDICATORS IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS

Nguyen Thi Huyen1,, Phan Thi Minh Phuong1, Leonardo Antonio Sechi2, Ha Nu Thuy Duong1, Nguyen Vu Thanh1, Pham Thanh Tuong3
1 University of Medicine and Pharmacy, Hue University
2 University of Sassari, Sassari, Italy
3 Hue University of Medicine and Pharmacy Hospital

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Tóm tắt

Objectives: To describe the characteristics of antinuclear antibodies (ANA) and anti-double stranded DNA (anti-dsDNA) results in patients with systemic lupus erythematosus (SLE) and to evaluate the relationship between these results and peripheral blood cell indicators. Materials and Methods: A retrospective and cross-sectional descriptive study was conducted on 161 patients with a confirmed diagnosis of SLE who were monitored and treated at Hue University of Medicine and Pharmacy Hospital, Hue city from January 2018 to May 2024. Results: The mean age of the study population was 31.16 ± 13.01 years. The prevalence of  SLE in females was 88.2% and was 7.5 times higher than in males. The rates of ANA and anti-dsDNA positivity in SLE patients were 61.5% and 36.6%, respectively. The study population with both positive ANA and anti-dsDNA test results accounted for 32.3%. There was a statistically significant relationship between ANA, anti-dsDNA results, and blood cell indicators including WBCs, neutrophils, lymphocytes, red blood cells, and hemoglobin (p<0.05). Additionally, ANA results showed a statistically significant relationship with platelet counts (p<0.01). Patients who tested positive for both ANA and anti-dsDNA had the lowest counts of WBCs, neutrophils, lymphocytes, RBCs, and hemoglobin compared to other counterparts, with a statistically significant difference (p<0.01). Conclusion: ANA and anti-dsDNA results are statistically significantly associated with peripheral blood cell indicators in patients. It is necessary to consider combining both ANA and anti-dsDNA results to evaluate and predict the disease activity of systemic lupus erythematosus.

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