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        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Anti-nuclear antibodies &#40;ANA&#41; are immunoglobulin directed against autologous cell nuclear and cytoplasmic components&#46; Besides the autoimmune ANA there are other ANA that can be detected in circulation&#44; like natural and infectious ANA&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Because of its high sensibility&#44; detection of the ANA must be done by indirect immunofluorescence &#40;IIF&#41; as screening test and all of those positive samples are convenient to confirm its specificity by ELISA&#44; western blot or other techniques&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Positive ANA detected by IIF must be evaluated taking in to account the pattern and titer&#46; The following recommended step is the specificity characterization &#40;reactivity against extractable nuclear antigens &#91;ENA&#93;&#44; dsDNA&#44; etc&#46;&#41; which is useful for the diagnosis and follow up of patients with autoimmune diseases&#44; and by such reasoning&#44; its detection must be performed in an orderly and reasonable way using guides or strategies focused to the good use and interpretation of the autoantibodies&#46; The objective of this review is to present a compilation of the literature and our experience in the detection and study of the ANA&#46;</p>"
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        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los anticuerpos antinucleares son inmunoglobulinas que reconocen componentes celulares aut&#243;logos &#40;nucleares y citoplasm&#225;ticos&#41;&#46; Adem&#225;s de los ANA autoinmunes&#44; pueden estar en circulaci&#243;n ANA infecciosos y naturales&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La detecci&#243;n de ANA debe realizarse mediante inmunofluorescencia indirecta &#40;IFI&#41; en l&#237;neas celulares como prueba de tamizado inicial debido a su alta sensibilidad&#46; Una muestra positiva para ANA&#44; detectados mediante IFI&#44; debe confirmarse mediante t&#233;cnicas m&#225;s sensibles y espec&#237;ficas&#44; como ELISA&#44; electroinmunotransferencia &#40;Western blot&#41; u otras&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Los ANA detectados por IFI deben ser evaluados seg&#250;n el patr&#243;n y el t&#237;tulo&#46; La detecci&#243;n espec&#237;fica de diversos autoanticuerpos &#40;anti-ENA&#44; ADNcd&#44; etc&#46;&#41; resulta &#250;til en el diagn&#243;stico y seguimiento de pacientes con enfermedades autoinmunes&#46; Por tal motivo&#44; su detecci&#243;n debe realizarse de manera ordenada y razonable&#44; empleando las gu&#237;as o estrategias enfocadas al buen uso e interpretaci&#243;n de la presencia de autoanticuerpos&#46; El objetivo de la revisi&#243;n es presentar una recopilaci&#243;n de la literatura y nuestra experiencia en la detecci&#243;n y estudio de los ANA&#46;</p>"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46; Conrad"
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                          "autores" => array:6 [
                            0 => "E&#46;M&#46; Tan"
                            1 => "T&#46;E&#46;W&#46; Feltkamp"
                            2 => "J&#46;S&#46; Smolen"
                            3 => "B&#46; Butcher"
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                      "titulo" => "Prevalencia de anticuerpos antinucleares &#40;ANA&#41; en donadores sanos del Instituto Nacional de Ciencias M&#233;dicas y Nutrici&#243;n Salvador Zubir&#225;n"
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                            3 => "M&#46;T&#46; Huerta"
                            4 => "A&#46; Alvarado"
                            5 => "J&#46; Cabiedes"
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                      "titulo" => "Autoantibodies"
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                            0 => "Y&#46; Shoenfeld"
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                          "etal" => false
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                            0 => "J&#46;G&#46;M&#46;C&#46; Damoiseaux"
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Antinuclear antibodies
Anticuerpos antinucleares
Javier Cabiedes, Carlos A. Núñez-Álvarez
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nuac80df@yahoo.com.mx

Corresponding author.
Laboratorio de Inmunología, Departamento de Inmunología y Reumatología, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
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            "entidad" => "Laboratorio de Inmunolog&#237;a&#44; Departamento de Inmunolog&#237;a y Reumatolog&#237;a&#44; Instituto Nacional de Ciencias M&#233;dicas y Nutrici&#243;n Salvador Zubir&#225;n&#44; Mexico City&#44; Mexico"
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        "titulo" => "Anticuerpos antinucleares"
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    "fechaRecibido" => "2009-07-24"
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            0 => "Antinuclear antibodies"
            1 => "Indirect immunofluorescence"
            2 => "Autoimmune diseases"
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            0 => "Anticuerpos antinucleares"
            1 => "Inmunofluorescencia indirecta"
            2 => "Enfermedades autoinmunes"
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        "titulo" => "Abstract"
        "resumen" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Anti-nuclear antibodies &#40;ANA&#41; are immunoglobulin directed against autologous cell nuclear and cytoplasmic components&#46; Besides the autoimmune ANA there are other ANA that can be detected in circulation&#44; like natural and infectious ANA&#46;</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">Because of its high sensibility&#44; detection of the ANA must be done by indirect immunofluorescence &#40;IIF&#41; as screening test and all of those positive samples are convenient to confirm its specificity by ELISA&#44; western blot or other techniques&#46;</p><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Positive ANA detected by IIF must be evaluated taking in to account the pattern and titer&#46; The following recommended step is the specificity characterization &#40;reactivity against extractable nuclear antigens &#91;ENA&#93;&#44; dsDNA&#44; etc&#46;&#41; which is useful for the diagnosis and follow up of patients with autoimmune diseases&#44; and by such reasoning&#44; its detection must be performed in an orderly and reasonable way using guides or strategies focused to the good use and interpretation of the autoantibodies&#46; The objective of this review is to present a compilation of the literature and our experience in the detection and study of the ANA&#46;</p>"
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      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">Los anticuerpos antinucleares son inmunoglobulinas que reconocen componentes celulares aut&#243;logos &#40;nucleares y citoplasm&#225;ticos&#41;&#46; Adem&#225;s de los ANA autoinmunes&#44; pueden estar en circulaci&#243;n ANA infecciosos y naturales&#46;</p><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">La detecci&#243;n de ANA debe realizarse mediante inmunofluorescencia indirecta &#40;IFI&#41; en l&#237;neas celulares como prueba de tamizado inicial debido a su alta sensibilidad&#46; Una muestra positiva para ANA&#44; detectados mediante IFI&#44; debe confirmarse mediante t&#233;cnicas m&#225;s sensibles y espec&#237;ficas&#44; como ELISA&#44; electroinmunotransferencia &#40;Western blot&#41; u otras&#46;</p><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Los ANA detectados por IFI deben ser evaluados seg&#250;n el patr&#243;n y el t&#237;tulo&#46; La detecci&#243;n espec&#237;fica de diversos autoanticuerpos &#40;anti-ENA&#44; ADNcd&#44; etc&#46;&#41; resulta &#250;til en el diagn&#243;stico y seguimiento de pacientes con enfermedades autoinmunes&#46; Por tal motivo&#44; su detecci&#243;n debe realizarse de manera ordenada y razonable&#44; empleando las gu&#237;as o estrategias enfocadas al buen uso e interpretaci&#243;n de la presencia de autoanticuerpos&#46; El objetivo de la revisi&#243;n es presentar una recopilaci&#243;n de la literatura y nuestra experiencia en la detecci&#243;n y estudio de los ANA&#46;</p>"
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        "etiqueta" => "&#9734;"
        "nota" => "<p class="elsevierStyleNotepara">Note&#58; Section credited by SEAFORMEC with 1&#46;7 credits&#46; Please consult questions for each article at URL&#58; <span class="elsevierStyleInterRef" href="http://www.reumatologiaclinica.org/">http&#58;&#47;&#47;www&#46;reumatologiaclinica&#46;org</span></p>"
      ]
      1 => array:2 [
        "etiqueta" => "&#9674;"
        "nota" => "<p class="elsevierStyleNotepara">In memoriam to our teacher and friend</p>"
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      "titulo" => "References"
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                            0 => "I&#46; Rosas"
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                            2 => "C&#46;A&#46; N&#250;&#241;ez &#193;lvarez"
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                      "titulo" => "Autoantibodies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Y&#46; Shoenfeld"
                            1 => "M&#46;E&#46; Gershwin"
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ISSN: 21735743
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