Rheumatology test items

The causes of rheumatic diseases vary, and there are many different autoantibodies in the blood. The laboratory tests play an important role in the diagnosis of rheumatic diseases. In addition, due to the long course of rheumatism, there are many side effects of drugs, and the treatment time is long. The detection of relevant indicators in the blood of outpatient clinics is of great significance for judging the activity of the disease and monitoring the adverse reactions of the therapeutic drugs. Rheumatism test items generally have acupuncture test; anti-cyclic citrullinated peptide antibody; human leukocyte antigen; anti-saline extractable nuclear antigen antibody; cell histochemical staining and PPD test. Basic Information Specialist classification: growth and development check classification: immunological examination Applicable gender: whether men and women apply fasting: fasting Tips: Check the previous day to avoid alcohol, limit high-fat and high-protein diet, avoid using drugs that have an effect on liver and kidney function. Should be light, do not eat pig liver, pig blood and other bloody food, check the day before the evening of 12 o'clock, please completely fast (including drinking water). An empty stomach check is strictly required. Normal value Generally negative and within a certain range. Clinical significance Abnormal results: 1. Blood routine The detection of red blood cells, white blood cells and platelets in the blood by an automated blood cell analyzer is of great significance for the diagnosis and treatment of many diseases. In some systemic connective tissue diseases such as lupus erythematosus, the disease itself can cause blood changes, such as leukopenia and anemia. Immunosuppressant anti-rheumatic drugs can also affect bone marrow hematopoiesis and leukopenia. Therefore, if patients with rheumatism (WBC) <4 × 109 / L, platelets (PLT) <70 × 109 / L, hemoglobin (HBG) <60g / L, it is not appropriate to use anti-rheumatic drugs, but should promptly see a doctor, Find the cause and deal with it accordingly. 2. Urine sediment, urine routine kidney is a common target organ for rheumatism and immune disease damage. Perfecting urine sediment and urine routine examination is the most basic method to reflect kidney disease. 3. Liver and kidney function, blood sugar, blood lipids, muscle enzymes and other biochemical tests can understand the general functional status of the body, and judge whether it is suitable for anti-rheumatic treatment; regular review can also monitor the side effects of drug treatment. 4. ESR and C-reactive protein (CRP) are commonly used indicators of the degree of activity in rheumatism. However, the specificity is not high, bacterial infection, tuberculosis, anemia, tumors and other inflammatory diseases can also cause ESR and CRP to rise. The normal reference value of ESR is <15mm/1h, female<20mm/1h; CRP<8mg/L. People who need to be examined: generally patients with rheumatoid disease require an examination. High results may be diseases: gouty arthritis, rheumatoid vasculitis, vasculitic peripheral neuropathy, fibromyalgia, rheumatoid arthritis, rheumatic polymyalgia, Kashin-Beck disease, Whipple's disease, sputum, sputum Precautions Taboo before the test: avoid alcohol before the test, limit the high-fat and high-protein diet, avoid using drugs that have an effect on liver and kidney function. Should be light, do not eat pig liver, pig blood and other bloody food, check the day before the evening of 12 o'clock, please completely fast (including drinking water). An empty stomach check is strictly required. Requirements for inspection: Obey the doctor's arrangement during the examination and follow the test. Inspection process Indirect immunofluorescence, particle agglutination, enzyme-linked immunosorbent assay, radioimmunoassay, immunodiffusion, reference convection immunoelectrophoresis, immunoblotting, immunospot assay, colloidal gold-labeled speckle immunofiltration. The indirect immunofluorescence method is suitable for detecting antibodies for in situ components and for soluble components, and the other methods are applicable to the detection of rheumatoid diseases. Not suitable for the crowd Inappropriate people: no special requirements. Adverse reactions and risks There are no related complications and hazards.