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When are anti-ribonuclear protein antibodies positive?

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Final answer:

Anti-ribonuclear protein antibodies are positive in autoimmune diseases like Systemic Lupus Erythematosus (SLE). They are detected using IFA tests, and their presence in high titers alongside symptoms supports the diagnosis of autoimmune conditions.

Step-by-step explanation:

Anti-ribonuclear protein antibodies are commonly positive in autoimmune diseases such as Systemic Lupus Erythematosus (SLE). The presence of these autoantibodies suggests an autoimmune response where the body's immune system mistakenly attacks its own cells and tissues. Indirect immunofluorescence assays (IFA) are utilized to detect these antinuclear antibodies (ANA), which are indicative of conditions like SLE. It is important to note that while many healthy individuals express low levels of ANA, a higher titer, especially more than 1:40 with symptoms involving multiple organ systems, confirms their significance in the diagnosis of autoimmune disorders.

In SLE, the damage is caused by type III hypersensitivity reactions, with anti-nuclear antibodies being present in the vast majority of patients. SLE leads to the production of specific autoantibodies such as anti-double-stranded DNA (ds-DNA) and anti-Smith (anti-Sm) antibodies, which are highly specific to this condition. Therefore, the presence of anti-ribonuclear protein antibodies is included in the classification criteria of SLE.

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