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Autoimmune Polyendocrinopathy

The term Autoimmune Polyendocrinopathy (also known as Schmidt’s

syndrome) refers to an autoimmune disease affecting multiple endocrine

organs like pancreas, adrenal gland or thyroid gland.

ADDISON’S DISEASE

Indirect immmunofluorescence assay is the conventional method for the

determination of anti-adrenal cortex antibodies (AACA).

The presence of cytoplasmic adrenal antibodies (AACA) is strongly

indicative of Addison’s disease, an uncommon disorder due to a

deficiency of adrenocortical hormones. Almost all individuals with a

primary amenorrhea and Addison’s disease have detectable cytoplasmic

adrenal antibodies. These autoantibodies are useful markers for the

prediction of the development of Addison’s disease. Results obtained

in a comparative study do not show significant systematic differences

compared to an anti-21 hydroxylase antibodies radioimmunoassay.

ANTI-ADRENAL CORTEX ANTIBODIES (AACA)

44574

IFA Slide Box, 12 slides x 4 wells

Monkey Adrenal

AUTOIMMUNE THYROIDITIS

Antibodies to human thyroid peroxidase (Anti-TPO) are present typically

in patients with Hashimoto’s disease (90-100% of the patients),

primary hypothyroidism or myxedema (80%), Grave’s disease (50-

80%), type I diabetes mellitus (40%) and pregnant women (14%). They

are also detected, together with anti-Tg antibodies, in other diseases:

endemic goiter, subacute thyroiditis, Addison’s disease, polyendocrine

autoimmunopathies and in members of families prone to organ specific

autoimmunity. Nevertheless, they can be also present in a 5-20% of

healthy individuals.

Anti Thyroglobulin (Anti-Tg) antibodies are present typically in patients

with Hashimoto’s disease (80-90% of the patients), primary myxedema

(80%), Grave’s disease (50-70%), type I diabetes mellitus (40%) and

pregnant women (14%). Although elevated anti-Tg antibodies are

common in differentiated cancer, but they have no clinical value. They

are also detected, together with anti-TPO antibodies, in other diseases:

endemic goitrous, subacute thyroiditis, Addison’s disease, polyendocrine

autoimmunopathies and in members of families prone to organ specific

autoimmunity. Nevertheless, they can be also present in a 5-20% of

healthy individuals.

ANTI-THYROID ANTIBODIES

44550

IFA – Complete kit, 12 slides x 4 wells

44551

IFA – Slide Box, 12 slides x 4 wells

Monkey Thyroid

ANTI-THYROID PEROXIDASE ANTIBODIES (TPO)

44795

ELISA kit, 96 T.

Recombinant human antigen

ANTI-THYROGLOBULIN ANTIBODIES (Tg)

44796

ELISA kit, 96 T.

Highly purified human antigen

DIABETES MELLITUS

Indirect immmunofluorescence assay is the conventional method for the

determination of anti- islet cell antibodies (AICA). Islet cells antibodies

(AICA) are strongly associated with insulin-dependent diabetes mellitus.

Results obtained in a comparative study with anti-GAD and anti-IA2

antibodies detection tests showed a good concordance.

INSULIN

Autoantibodies against insulin are present in patients with type I diabetes

along with other autoantibodies (mainly, anti-glutamic acid decarboxylase

65, anti-tyrosine phosphatase IA 2 and cytoplasmic islet cell antibodies),

but anti-insulin antibodies are usually the first to appear. Anti-insulin

antibodies are detectable in 50-70% of children at the onset of type I

diabetes and only 20-30% in older patients.

ANTI-ISLET CELLS ANTIBODIES

44609

IFA – Complete kit, 12 slides x 4 wells

Controls not included

44572

IFA – Slide Box, 12 slides x 4 wells

Monkey Pancreas

ANTI-INSULIN ANTIBODIES

44873

ELISA KIT 96 T

Mixture of recombinant and purified insulin

Anti-adrenal cortex antibodies

Monkey adrenal cortex

Anti-thyroid peroxidase antibodies

Monkey thyroid

Anti-islet cell antibodies

Monkey pancreas

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