Rheumatoid Factor
Rheumatoid factors are a heterogeneous group of autoantibodies directed against the antigenic determinants on the Fc-region of IgG molecules. They are important in the diagnosis of rheumatoid arthritis, but can also be found in other inflammatory-rheumatic diseases and in various non-rheumatic diseases. They are also found in clinically healthy persons over 60 years of age. Despite these restrictions, the detection of rheumatoid factors is a diagnostic criterion of the American College of Rheumatology for classifying rheumatoid arthritis. These autoantibodies occur in all the immunoglobulin classes, although the usual analytical methods are limited to the detection of rheumatoid factors of the IgM type.
Particle-enhanced immunonephelometry is applied. This method involves measuring the light scattered by insoluble complexes formed by reaction between specific protein in samples and its respective antibody covalently coupled to latex particles, and the amount of scattered light is directly proportional to the concentration of the protein under condition that antibody is in excess. The latex particles increase the size of complexes formed and thus the amount of light as well as the test sensitivity. Concentrations are automatically calculated by reference to a calibration curve stored in the instrument.
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2. Bartfied H. Distribution of rheumatoid factor activity in nonrheumatoid states. Ann NY Acad Sci 1969;168:30-40