Research Article

A Comparison of Anti-Nuclear Antibody Quantification Using Automated Enzyme Immunoassays and Immunofluorescence Assays

Table 1

Clinical diagnoses and results of EIA and IFA. The combined results of anti-dsDNA, ANA screening, and the seven individual antigens are referred to as “EIA-combined.” The IFA classification was based on the results from the primary laboratory and (if performed) from the secondary laboratory.

DiagnosisdsDNA EIAANA screen EIA EIA-combinedIFA
NEGEQVPOSNEGEQVPOSNEGEQVPOSNEGEQVPOS

ANA-associated disease ( , 18%)3824262162811528214
 SLE ( )534134444
 Juvenile RA ( )8718611
 Raynaud ( )523324
 Vasculitis ( )54155
 Autoimmune hepatitis ( )31222231
 Dermatomyositis/polymyositis ( )3333
 Scleroderma ( )3121212
 UCTD ( )21211113
 MCTD ( )21333
 Discoid lupus ( )211112

Non-ANA-associated disease ( , 46%)150251495314927137128
 Rheumatoid arthritis ( )46244224443693
 Back pain ( )342342342351
 Arthritis ( )3211321132112914
 Osteoarthrosis ( )13131313
 Polymyalgia rheumatica ( )10111101101
 Arthralgia/myalgia ( )7777
 Ankylosing spondylitis ( )55541
 Giant cell arthritis ( )3333

Other diseases ( , 36%)177261688916651416988
 Neurological disorder ( )535625215562
 Miscellaneous ( )50443346134343
 Malignancy ( )131211213
 Renal disorder ( )1111211112
 Osteoporosis ( )111912912912
 Inflammatory bowel disease ( )10101091
 Infection ( )1010109
 Liver disease ( )8181819
 Vitamin D deficiency ( )51423311
 Lung disease ( )4444
 Endocrine disorder ( )2222

All ( )36561534315283428363342230

NEG: negative; EQV: equivocal; and POS: positive; MCTD: mixed connective tissue disease; RA: rheumatoid arthritis; SLE: systemic lupus erythematosus; and UCTD: undifferentiated connective tissue disease.