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pubmed-article:9650944pubmed:abstractTextSerum samples from patients with confirmed human granulocytic ehrlichiosis (HGE) were tested for cytoplasmic, nuclear, and platelet autoantibodies and rheumatoid factor. The indirect fluorescence antinuclear antibody test on Hep-2 cells demonstrated antinuclear titers of > or = 40 and > or = 160 in 44 and 10%, respectively, of serum samples from HGE patients. Two patients (4%) had anticytoplasmic (mitochondrial and spindle apparatus) antibodies with a titer of 80 and two patients (4%) had anticytoplasmic (mitochondrial) antibodies with a titer of 160 or greater. Flow cytometry was used to demonstrate antiplatelet antibodies in 80% of first serum samples from HGE patients. Rheumatoid factor was not detected. Nuclear and cytoplasmic autoantibodies are a major cause of interference when the indirect fluorescence antibody test is used to detect fluorescence of morulae in Ehrlichia-infected equine neutrophils or HL-60 promyelocytes. Antiplatelet antibodies may contribute to the profound thrombocytopenia which is a characteristic laboratory feature during the acute phase of HGE infection. Whether autoantibodies precede infection or are caused by immune activation of HGE deserves further study.lld:pubmed
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pubmed-article:9650944pubmed:authorpubmed-author:ThomasJ AJAlld:pubmed
pubmed-article:9650944pubmed:authorpubmed-author:WoodS NSNlld:pubmed
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pubmed-article:9650944pubmed:articleTitleCytoplasmic, nuclear, and platelet autoantibodies in human granulocytic ehrlichiosis patients.lld:pubmed
pubmed-article:9650944pubmed:affiliationWadsworth Center, New York State Department of Health, Albany 12201-2002, USA. wong@wadsworth.orglld:pubmed
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pubmed-article:9650944pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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