Serum vascular endothelial growth factor (vegf) as a biomarker of lupus nephritis

Systemic lupus erythematosus (SLE) is a multisystem autoimmune disorder with a broad spectrum of clinical presentations (Tan EM et al, 1982). SLE is a chronic illness that may be life-threatening when major organs are affected but more commonly results in chronic debilitating ill health. It is ch...

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Main Author: Iberahim, Rahimah
Format: Thesis
Language:English
Published: 2013
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Online Access:http://eprints.usm.my/60784/1/DR%20RAHIMAH%20IBERAHIM%20-%20e.pdf
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spelling my-usm-ep.607842024-11-14T03:35:14Z Serum vascular endothelial growth factor (vegf) as a biomarker of lupus nephritis 2013 Iberahim, Rahimah R Medicine RA440-440.87 Study and teaching. Research RC666-701 Diseases of the circulatory (Cardiovascular) system Systemic lupus erythematosus (SLE) is a multisystem autoimmune disorder with a broad spectrum of clinical presentations (Tan EM et al, 1982). SLE is a chronic illness that may be life-threatening when major organs are affected but more commonly results in chronic debilitating ill health. It is characterised by pathogenic auto antibodies production and tissue deposition of immune complexes. No single cause for SLE has been identified though factors such as sunlight and drugs may precipitate the condition and there is a complex genetic basis. The incidence of SLE in the general population varies according to the characteristics of the population studied, i.e. age, gender, race, ethnic/national origin or period of time studied, but also depending on changes in classification criteria. SLE is more common among women in their reproductive years (Cross and Benton, 1999), with highest incidence seen in premenopausal period between the ages of 20 to 50 years (Siegle et al, 1970; Hochberg, 1985) and female to male ratio range from 6 to 14:1 (McCarty et al, 1995; Voulgari et al, 2002; Soto ME et al, 2004). The prevalence of SLE in United States is 1 in 250 in black females and 1 in 1000 in white females (Manolios and Schrieber, 1997). Estimated incidence rates in North America, South America and Europe range from 2 to 8 per 100 000 per year (Vilar and Sato, 2002; Jeminez et al, 2003), tripling in the last 40 years due to improved detection of mild disease. Both geography and race effect affect SLE prevalence. SLE is more common in the urban than rural areas; and there is higher prevalence among Asians, Afro- American, Afro-Carribbeans, Hipanic Americans (Serdula and Rhoads, 1979; Hochberg, 1985; Lawrence et al, 1989) but lower prevalence among blacks in Africa (Symmons, 1995). A study by Hopskinson et al (1994) revealed that the highest prevalence rate was seen in Afro- Carribbeans (207/100 000), followed by Asians (48.8/100 000). Racial differences in the clinical features of SLE have also been noted, with blacks developing SLE at younger age, discoid lupus being more common, and higher prevalence of antibodies to Smith (Sm) and Ribonucleoprotein (RNP) antigen, compared to whites (Ward and Studenski, 1990). Previous study in Malaysia reported a ratio of 12:1 was seen in all major ethnic group; Malays, Chinese and Indian (Wang et al, 1997). A person is having SLE if she or he fulfils 4 out of 11 criteria based on 1997 American Rheumatism Association (ARA) revised criteria, which confers 96% sensitivity and specificity (Hochberg, 1997). The eleven criteria are described in Table 1.1. 2013 Thesis http://eprints.usm.my/60784/ http://eprints.usm.my/60784/1/DR%20RAHIMAH%20IBERAHIM%20-%20e.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution Universiti Sains Malaysia
collection USM Institutional Repository
language English
topic R Medicine
R Medicine
RC666-701 Diseases of the circulatory (Cardiovascular) system
spellingShingle R Medicine
R Medicine
RC666-701 Diseases of the circulatory (Cardiovascular) system
Iberahim, Rahimah
Serum vascular endothelial growth factor (vegf) as a biomarker of lupus nephritis
description Systemic lupus erythematosus (SLE) is a multisystem autoimmune disorder with a broad spectrum of clinical presentations (Tan EM et al, 1982). SLE is a chronic illness that may be life-threatening when major organs are affected but more commonly results in chronic debilitating ill health. It is characterised by pathogenic auto antibodies production and tissue deposition of immune complexes. No single cause for SLE has been identified though factors such as sunlight and drugs may precipitate the condition and there is a complex genetic basis. The incidence of SLE in the general population varies according to the characteristics of the population studied, i.e. age, gender, race, ethnic/national origin or period of time studied, but also depending on changes in classification criteria. SLE is more common among women in their reproductive years (Cross and Benton, 1999), with highest incidence seen in premenopausal period between the ages of 20 to 50 years (Siegle et al, 1970; Hochberg, 1985) and female to male ratio range from 6 to 14:1 (McCarty et al, 1995; Voulgari et al, 2002; Soto ME et al, 2004). The prevalence of SLE in United States is 1 in 250 in black females and 1 in 1000 in white females (Manolios and Schrieber, 1997). Estimated incidence rates in North America, South America and Europe range from 2 to 8 per 100 000 per year (Vilar and Sato, 2002; Jeminez et al, 2003), tripling in the last 40 years due to improved detection of mild disease. Both geography and race effect affect SLE prevalence. SLE is more common in the urban than rural areas; and there is higher prevalence among Asians, Afro- American, Afro-Carribbeans, Hipanic Americans (Serdula and Rhoads, 1979; Hochberg, 1985; Lawrence et al, 1989) but lower prevalence among blacks in Africa (Symmons, 1995). A study by Hopskinson et al (1994) revealed that the highest prevalence rate was seen in Afro- Carribbeans (207/100 000), followed by Asians (48.8/100 000). Racial differences in the clinical features of SLE have also been noted, with blacks developing SLE at younger age, discoid lupus being more common, and higher prevalence of antibodies to Smith (Sm) and Ribonucleoprotein (RNP) antigen, compared to whites (Ward and Studenski, 1990). Previous study in Malaysia reported a ratio of 12:1 was seen in all major ethnic group; Malays, Chinese and Indian (Wang et al, 1997). A person is having SLE if she or he fulfils 4 out of 11 criteria based on 1997 American Rheumatism Association (ARA) revised criteria, which confers 96% sensitivity and specificity (Hochberg, 1997). The eleven criteria are described in Table 1.1.
format Thesis
qualification_level Master's degree
author Iberahim, Rahimah
author_facet Iberahim, Rahimah
author_sort Iberahim, Rahimah
title Serum vascular endothelial growth factor (vegf) as a biomarker of lupus nephritis
title_short Serum vascular endothelial growth factor (vegf) as a biomarker of lupus nephritis
title_full Serum vascular endothelial growth factor (vegf) as a biomarker of lupus nephritis
title_fullStr Serum vascular endothelial growth factor (vegf) as a biomarker of lupus nephritis
title_full_unstemmed Serum vascular endothelial growth factor (vegf) as a biomarker of lupus nephritis
title_sort serum vascular endothelial growth factor (vegf) as a biomarker of lupus nephritis
granting_institution Universiti Sains Malaysia
granting_department Pusat Pengajian Sains Perubatan
publishDate 2013
url http://eprints.usm.my/60784/1/DR%20RAHIMAH%20IBERAHIM%20-%20e.pdf
_version_ 1818647355908423680