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Correspondence
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Volume 358:2412-2413 May 29, 2008 Number 22
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Systemic Lupus Erythematosus

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 by Rahman, A.
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To the Editor: In their review article, Rahman and Isenberg (Feb. 28 issue)1 emphasize the role of anti–double-stranded DNA antibodies in the pathogenesis of systemic lupus erythematosus. Such antibodies also occur, however, in 23 to 64% of patients with type 1 autoimmune hepatitis, depending on the assay used.2 Interestingly, 36% of patients with type 1 autoimmune hepatitis and antibodies against double-stranded DNA have the HLA allele DR3, which is a genetic risk factor in both systemic lupus erythematosus and type 1 autoimmune hepatitis.3 However, there is no evidence of a pathogenic role of anti–double-stranded DNA antibodies in type 1 autoimmune . . . [Full Text of this Article]




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