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TITLE:

RECOGNITION OF POSITIVITY AND PREVALENCE OF ANTINUCLEAR ANTIBODIES IN CHILDHOOD RHEUMATIC DISEASES

AUTHORS:

Dr Muhammad Azam Bakhtawar, Dr Farhad, Dr Nureen Shahzadee

ABSTRACT:

Aim: To determine the positivity and prevalence of ANA in various autoimmune diseases in children. Patients and Methods: This was a cross-sectional observational study conducted at the Departments of Pediatric Medicine, Immunology and Serology, Services Hospital Lahore for one-year duration from April 2019 to April 2020. More than 200 blood samples were taken from various medical departments and serology for ANA Elisa tests was also performed. Of these, only ANA positive patients were selected. Pre-designed pro-form information and data were analyzed by SPSS version 16. Results: Of the 200 patients, 45 (22.5%) were ANA positive. Of 45 ANA positive patients, 25 (55.6%) had a diagnosis of SLE, 9 (20%) had MCTD, 5 (11.1%) had scleroderma, 4 (8.9%) had dermatomyositis, 2 (4.4%) had polymyositis. There was also a female advantage with a female to male ratio of 3: 1.2. The age of the studied population ranged from 3 (minimum) to 16 (maximum) years with an average age of 10.29 ± 3.80 years. Conclusion: The ANA Elisa test can be used as a screening tool for clinically suspected rheumatic diseases in children. Key words: Antinuclear antibodies, systemic lupus erythematosus, mixed connective tissue disease.

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