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High prevalence of rheumatoid factor associated with clinical manifestations of rheumatic disease in Kaingang and Guarani Indians from Southern Brazil

The aim of the present study was to perform a screening for rheumatoid factor (RF) and anti-nuclear antibody in Kaingang, Guarani and Mestizos individuals from Mangueirinha Reservation, State of Paraná, Brazil, and associate it with demographic and clinical data. Serum samples from 321 aborigines (1...

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Published in:Rheumatology international 2009-02, Vol.29 (4), p.427-430
Main Authors: Ribas, João Luiz Coelho, da Rosa Utiyama, Shirley Ramos, Nisihara, Renato Mitsunori, Boeira, Maristela, de Messias Reason, Iara Taborda
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container_title Rheumatology international
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description The aim of the present study was to perform a screening for rheumatoid factor (RF) and anti-nuclear antibody in Kaingang, Guarani and Mestizos individuals from Mangueirinha Reservation, State of Paraná, Brazil, and associate it with demographic and clinical data. Serum samples from 321 aborigines (125♂ and 196♀; 4–86 years old) and 180 non-Indians healthy individuals were analysed (62♂ and 118♀; 2–81 years old). Antinuclear antibody (ANA) was tested by indirect immunofluorescence, and RF by agglutination in latex and turbidimetry. RF was higher in Kaingang when compared to Guarani ( P  = 0.009), Mestizos ( P  = 0.061) and non-Indians ( P  = 0.010). A significant increase of RF was observed in Kaingang women versus Kaingang men ( P  = 0.002) and, among the women, in Kaingang when compared to Mestizos and Guarani ( P  ≤ 0.008). The positivity for ANA did not show significant differences between the groups. Clinical evaluation of RF positive individuals ( n  = 6) confirmed rheumatoid arthritis in two Kaingang Indians. Other two individuals (RF positive) will be under medical observation, as well as two Mestizos. The differences observed among the investigated groups, suggest the influence of genetic and hormonal factors in the development of auto antibodies in these populations.
doi_str_mv 10.1007/s00296-008-0716-3
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subjects Adult
Antibodies, Antinuclear - analysis
Arthritis
Autoantibodies - analysis
Brazil - epidemiology
Ethnic Groups - genetics
Female
Fluorescent Antibody Technique, Indirect
Geography
Humans
Indians, South American - classification
Indians, South American - genetics
Latex Fixation Tests
Male
Medicine
Medicine & Public Health
Nephelometry and Turbidimetry
Original Article
Prevalence
Rheumatic diseases
Rheumatism
Rheumatoid Factor - analysis
Rheumatology
title High prevalence of rheumatoid factor associated with clinical manifestations of rheumatic disease in Kaingang and Guarani Indians from Southern Brazil
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