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J Clin Pathol 54:187-190 doi:10.1136/jcp.54.3.187

Antibodies to extractable nuclear antigens. Has technological drift affected clinical interpretation?

Table 4

Disease sensitivity, specificity, and positive predictive value (PPV) of various methods for the analysis of Ro, La, Sm, and U1-RNP for a diagnosis of systemic lupus erythematosus9, 10, 12, 13, 16, 28, 3236

Anti-Ro Sensitivity Specificity PPV
All figures expressed as percentages.
CIE, countercurrent immunoelectrophoresis; ELISA, enzyme linked immunosorbent assay; RNP, ribonuclear protein.
Double diffusion 33 97 84
CIE 29 99 64
ELISA (in house) 55 85 59
ELISA (commercial) 61 80–93 75–91
Anti-La
Double diffusion 15 99 90
CIE 14 99 81
ELISA (in house) 24 85 39
ELISA (commercial) 27–35 88–97 73–90
Anti-Sm
Double diffusion 17–35 99–100 89–100
CIE 11–56 98–100 90–100
ELISA (in house) 19–33 87–100 12–100
ELISA (commercial) 34–45 88–100 73–100
Anti-U1-RNP
Double diffusion 17–30 87–99 31–90
CIE 8–35 83–99 37–57
ELISA (in house) 4–46 91–98 11–67
ELISA (commercial) 39–64 84–97 70–95

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