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Bullous Diseases

ASA

Anti-skin antibodies directed to the intercellular space of the stratified

squamous epithelia are characteristic of pemphigus vulgaris, pemphigus

foliaceus and paraneoplastic pemphigus. Although results obtained by

indirect immunofluorescence are very specific for pemphigus, the type of

pemphigus cannot be differentiated by indirect immunofluorescence. In a

small percentage of patients with pemphigus, no circulating antibodies can

be demonstrated, since the antibody already bound to the patient’s skin.

Anti-basement membrane antibodies are found in 70% of patients with

bullous pemphigoid by using indirect immunofluorescence, in 20-25%

of patients with herpes gestationis and in 10% of patients with cicatricial

pemphigoid.

ANTI-SKIN ANTIBODIES (ASA)

44560

IFA – Complete kit, 12 slides x 4 wells

Controls not included

44561

IFA – Slide Box, 12 slides x 4 wells

Monkey Esophagus

Anti-skin antibodies.

Basement membrane Monkey esophagus

Anti-skin antibodies.

Intercellular substance Monkey esophagus

9

Miasthenia Gravis

44649

ANTI-STRIATED MUSCLE ANTIBODIES (AStMA)

IFA – Slide Box, 12 slides x 4 wells

Rat striated muscle

AStMA

Anti-striated muscle antibodies react against the antigens localized in the

I,A and Z bands of the muscle fiber, which act as the contractile elements

of the skeletal muscle. Its presence has been described in 30-60% of

patients with myasthenia gravis. The frequency of these antibodies in MG

patients suffering from thymoma can reach up to 80-100%, depending on

the study, becoming a valuable thymoma serological marker especially

in patients with onset MG younger than 45 years. It is more predictive of

thymoma when accompanied by a muscle acetylcholine receptor (AChR)

modulating antibody. Its presence is also useful as a screening test for

MG in older patients, especially when tests for muscle AChR antibodies

are negative.

These antibodies mainly react with the intracellular skeletal muscle

protein titin and the ryanodine receptor.

Anti-Striated Muscle Antibodies

Rat striated muscle