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Printable Handouts
Navigable Slide Index
- Introduction
- Autoantibodies content as a disease "fingerprint"
- Major topics of this lecture
- Medical challenges (1)
- Medical challenges (2)
- Inflammatory rheumatic disease (IRD) diagnostics
- Diagnostics/prognostics of IRD
- Optimal user-defined needs
- Tests used for diagnosis of a disease
- Laboratory aspects 2006
- Laboratory medicine 2006
- Indicating clinical value of test results (1)
- Indicating clinical value of test results (2)
- Sensitive assays
- Example: anti-dsDNA antibodies determination
- Screening by indirect immunofluorescence (IIF)
- My postulate
- Cellular regions: HEp-2 cells
- Modern testing platforms: are they better?
- Autoantigen arrays
- Addressable laser bead immuno-assay
- Reading the reactions
- Limitations of solid phase assays
- Diagnosis vs. differential diagnosis
- Criteria-based clinical diagnostics
- Ideal clinical and laboratory collaboration (1)
- Ideal clinical and laboratory collaboration (2)
- Making diagnostics appropriate
- Achieving early diagnosis of IRD
- Example of an algorithm
- Principle of autoimmune test guide
- Algorithm for clinical utility
- Autoantibody-associated sub-syndromes of IRDs
- Autoantibody-associated lupus sub-syndromes
- ANA in glomerular lesions of SLE patients
- Production of ANA before SLE onset (1)
- Production of ANA before SLE onset (2)
- Production of antiphospholipids before SLE onset
- Genes and autoantibody production in SLE
- Infrequent ANAs are important
- Scleroderma: survival rates
- Anti-centromere associations: limited scleroderma
- Anti-Th/To RNP associations: limited scleroderma
- Anti-Scl-70 associations: diffuse scleroderma
- Anti-RNA pol I associations: diffuse scleroderma
- Anti-U3 RNP associations: diffuse scleroderma
- Anti-U1RNP associations: overlap scleroderma
- Anti-PM/Scl associations: overlap scleroderma
- Evidence-based laboratory medicine
- Ultimate importance: clinical outcome
- Perspectives: health economics
- Conclusions (1)
- Conclusions (2)
- Conclusions (3)
- Some references
Topics Covered
- Tests to diagnose autoimmune rheumatic diseases
- Parameters to indicate clinical value of test results
- Tests based on different technologies
- Making diagnostics clinically appropriate
- Algorithms for use in family practice and in rheumatology practice
- Detection of early autoimmune disease
- Value for money has to be based on optimal early diagnostic work-up
Links
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Talk Citation
Wiik, A. (2007, October 1). Use of algorithms for high quality diagnostics and handling of patients with autoimmune rheumatic diseases [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved November 21, 2024, from https://doi.org/10.69645/SUSU6162.Export Citation (RIS)
Publication History
Financial Disclosures
- Dr. Allan Wiik has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Use of algorithms for high quality diagnostics and handling of patients with autoimmune rheumatic diseases
A selection of talks on Immunology
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