Antihistone antibodies in scleroderma

Dermatology. 1995;191(1):16-8. doi: 10.1159/000246474.

Abstract

Background: Antihistone antibodies (AHA) are usually considered the serological marker of drug-induced lupus erythematosus, but recently they have been found in patients with systemic scleroderma (SSc) and morphea.

Objective and methods: We determined AHA in 43 patients with SSc, 4 patients with overlap syndrome and 11 with morphea.

Results and conclusions: AHA were demonstrated in 41.8% of the SSc patients and in 36.3% of the morphea patients. Only 1 patient with overlap syndrome had AHA. Our SSc patients with AHA had frequent cardiac and renal involvements suggesting a prognostic value of AHA. In our morphea patients AHA did not correlate with clinical features.

MeSH terms

  • Adult
  • Aged
  • Antibodies, Anticardiolipin / analysis
  • Antibodies, Antinuclear / analysis
  • Autoantibodies / analysis*
  • Cardiomyopathies / pathology
  • DNA Topoisomerases, Type I / immunology
  • Female
  • Histones / immunology*
  • Humans
  • Kidney Diseases / pathology
  • Male
  • Middle Aged
  • Prognosis
  • Scleroderma, Localized / immunology
  • Scleroderma, Systemic / immunology*
  • Scleroderma, Systemic / pathology

Substances

  • Antibodies, Anticardiolipin
  • Antibodies, Antinuclear
  • Autoantibodies
  • Histones
  • DNA Topoisomerases, Type I