TY - JOUR T1 - ASsociation between active wegener's granulomatosis and anticytoplasmic antibodies AU - Tervaert J, van der Woude FJ, Fauci AS, et al Y1 - 1989/11/01 N1 - 10.1001/archinte.1989.00390110055012 JO - Archives of Internal Medicine SP - 2461 EP - 2465 VL - 149 IS - 11 N2 - • Autoantibodies reacting with the cytoplasm of granulocytes and monocytes (anticytoplasmic antibodies [ACPAs]) were found in 42 of 45 patients with active Wegener's granulomatosis (WG) (sensitivity, 93%). Specificity was tested in selected groups of patients with closely related diseases. Of 58 patients without a diagnosis of WG, 2 had ACPAs (specificity, 97%). The significance of ACPA titration for assessing or predicting disease activity was evaluated in a 16-month prospective study of 35 patients with WG. Seventeen relapses were observed and all were preceded by a significant rise of the ACPA titer. Anticytoplasmic antibodies are a specific and sensitive marker for active WG; a rising titer is a sensitive marker for the development of a relapse.(Arch Intern Med. 1989;149:2461-2465) SN - 0003-9926 M3 - doi: 10.1001/archinte.1989.00390110055012 UR - http://dx.doi.org/10.1001/archinte.1989.00390110055012 ER -