Literature DB >> 27048397

Diminution of falsely elevated tumour markers following immunosuppression for systemic lupus erythematosus with neurological involvement.

Jonathan Bevan1, Michael Richardson1.   

Abstract

We describe the case of a patient with a long history of undifferentiated connective tissue disease who developed headache, ataxia and orofacial dyskinesia attributed to a diagnosis of systemic lupus erythematosus (SLE). Gross elevation of the concentration of several plasma tumour markers (CEA, CA-125, CA19-9, CA15-3) was detected in the absence of malignancy. These markers fell significantly within a month of starting immunosuppressive therapy alongside clinical improvement. Caution should be taken in the interpretation of plasma tumour markers in patients with connective tissue disease. 2016 BMJ Publishing Group Ltd.

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Year:  2016        PMID: 27048397      PMCID: PMC4840743          DOI: 10.1136/bcr-2016-214549

Source DB:  PubMed          Journal:  BMJ Case Rep        ISSN: 1757-790X


  17 in total

1.  The effect of benign and malignant liver disease on the tumour markers CA19-9 and CEA.

Authors:  S Maestranzi; R Przemioslo; H Mitchell; R A Sherwood
Journal:  Ann Clin Biochem       Date:  1998-01       Impact factor: 2.057

2.  Tumor markers are elevated in patients with rheumatoid arthritis and do not indicate presence of cancer.

Authors:  Samuel Bergamaschi; Edelton Morato; Maria Bazzo; Fabricio Neves; Sonia Fialho; Glaucio Castro; Adriana Zimmermann; Ivanio Pereira
Journal:  Int J Rheum Dis       Date:  2011-09-22       Impact factor: 2.454

3.  False elevation of serum CA-125 level caused by human anti-mouse antibodies.

Authors:  Roger L Bertholf; Laura Johannsen; Benrubi Guy
Journal:  Ann Clin Lab Sci       Date:  2002       Impact factor: 1.256

Review 4.  The central nervous system in systemic lupus erythematosus. Part 1. Clinical syndromes: a literature investigation.

Authors:  F G I Jennekens; L Kater
Journal:  Rheumatology (Oxford)       Date:  2002-06       Impact factor: 7.580

Review 5.  The clinical utility of the CA 19-9 tumor-associated antigen.

Authors:  W Steinberg
Journal:  Am J Gastroenterol       Date:  1990-04       Impact factor: 10.864

Review 6.  Increased plasma concentrations of tumour markers in the absence of neoplasia.

Authors:  Jaume Trapé; Xavier Filella; Montse Alsina-Donadeu; Lluïsa Juan-Pereira; Ángels Bosch-Ferrer; Raül Rigo-Bonnin
Journal:  Clin Chem Lab Med       Date:  2011-09-06       Impact factor: 3.694

7.  Rheumatoid arthritis: correlation between rheumatoid factor levels and CA-125 tumour marker elevation.

Authors:  Nicolas Tsavaris; Clio P Mavragani; Dimitrios Pikazis; Pikazis Dimitrios
Journal:  Ann Rheum Dis       Date:  2007-07       Impact factor: 19.103

8.  Heterophilic antibodies in human sera causing falsely increased results in the CA 125 immunofluorometric assay.

Authors:  O C Boerman; M F Segers; L G Poels; P Kenemans; C M Thomas
Journal:  Clin Chem       Date:  1990-06       Impact factor: 8.327

9.  The use of Systemic Lupus Erythematosus Disease Activity Index-2000 to define active disease and minimal clinically meaningful change based on data from a large cohort of systemic lupus erythematosus patients.

Authors:  Chee-Seng Yee; Vernon T Farewell; David A Isenberg; Bridget Griffiths; Lee-Suan Teh; Ian N Bruce; Yasmeen Ahmad; Anisur Rahman; Athiveeraramapandian Prabu; Mohammed Akil; Neil McHugh; Christopher Edwards; David D'Cruz; Munther A Khamashta; Caroline Gordon
Journal:  Rheumatology (Oxford)       Date:  2011-01-18       Impact factor: 7.580

Review 10.  Tumor markers in clinical practice: a review focusing on common solid cancers.

Authors:  Michael J Duffy
Journal:  Med Princ Pract       Date:  2012-05-15       Impact factor: 1.927

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