Objective: Aims of this study were to test the efficacy of anti-BP180-NC160 ELISA in the diagnosis of oral pemphigoid compared to the gold standard, represented by direct immunofluorescence and pathological examination, to correlate the antibody titers with the severity of the disease and the demographical data. Materials and Methods: Patients with a suspect of oral pemphigoid were enrolled and underwent biopsy and sera collection both, in order to perform histopathological examination, direct immunofluorescence and ELISA. The test outcomes were compared, and ELISA sensitivity, specificity, accuracy, and negative and positive predictive values were calculated. Results: ELISA showed good specificity (83.3%), while sensitivity was only 50%. A moderate correlation between antibody titers and disease severity was recorded. Conclusions: Mucomembranous Pemphigoid is an autoimmune autoantibody-mediated blistering disease, often affecting exclusively the oral mucosa. Currently, the biopsy is required to diagnose this disease, but serological tests are also commonly employed during clinical practice as adjunctive tools. BP180-NC160 ELISA should be considered an ancillary diagnostic test in course of oral pemphigoid; direct immunofluorescence + histologic examination remains the diagnostic gold standard.

Petruzzi, M., Tampoia, M., Serpico, R., Lauritano, D., Lajolo, C., Lucchese, A., et al. (2021). Evaluation of BP180-NC16A ELISA in exclusive oral pemphigoid diagnosis. A comparative study. ORAL DISEASES, 27(3), 525-531 [10.1111/odi.13574].

Evaluation of BP180-NC16A ELISA in exclusive oral pemphigoid diagnosis. A comparative study

Lauritano D.
Membro del Collaboration Group
;
2021

Abstract

Objective: Aims of this study were to test the efficacy of anti-BP180-NC160 ELISA in the diagnosis of oral pemphigoid compared to the gold standard, represented by direct immunofluorescence and pathological examination, to correlate the antibody titers with the severity of the disease and the demographical data. Materials and Methods: Patients with a suspect of oral pemphigoid were enrolled and underwent biopsy and sera collection both, in order to perform histopathological examination, direct immunofluorescence and ELISA. The test outcomes were compared, and ELISA sensitivity, specificity, accuracy, and negative and positive predictive values were calculated. Results: ELISA showed good specificity (83.3%), while sensitivity was only 50%. A moderate correlation between antibody titers and disease severity was recorded. Conclusions: Mucomembranous Pemphigoid is an autoimmune autoantibody-mediated blistering disease, often affecting exclusively the oral mucosa. Currently, the biopsy is required to diagnose this disease, but serological tests are also commonly employed during clinical practice as adjunctive tools. BP180-NC160 ELISA should be considered an ancillary diagnostic test in course of oral pemphigoid; direct immunofluorescence + histologic examination remains the diagnostic gold standard.
Articolo in rivista - Articolo scientifico
ELISA; pemphigoid; vesiculobullous disease;
English
29-lug-2020
2021
27
3
525
531
none
Petruzzi, M., Tampoia, M., Serpico, R., Lauritano, D., Lajolo, C., Lucchese, A., et al. (2021). Evaluation of BP180-NC16A ELISA in exclusive oral pemphigoid diagnosis. A comparative study. ORAL DISEASES, 27(3), 525-531 [10.1111/odi.13574].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/283677
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