Sensitivity and specificity of C3d stainingfor the diagnosis of discoid lupus erythematosus
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Creator 1. Apasee Sooksamran
2. Jade Wititsuwannakul
3. Penvadee Pattanaprichakul
4. Nutpacha Chotikawichean
Title Sensitivity and specificity of C3d stainingfor the diagnosis of discoid lupus erythematosus
Publisher Research and Development Office,Prince of Songkla University
Publication Year 2564
Journal Title Songklanakarin Journal of Science and Technology (SJST)
Journal Vol. 43
Journal No. 3
Page no. 810-815
Keyword C3d, discoid lupus erythematosus, formalin-fixed paraffin-embedded specimens, specificity, sensitivity
URL Website https://rdo.psu.ac.th/sjstweb/
ISSN 0125-3395
Abstract Discoid lupus erythematosus (DLE) can be clinically and histologically challenging to diagnose. Some laboratoriesprovide immunofluorescence testing, but this requires fresh tissue. C3d staining for the diagnosis of DLE in formalin-fixedparaffin-embedded specimens was used to determine the sensitivity and specificity of detection of this complement protein. Wetested 59 cases of DLE and a control set composed of 59 cases of lichen planus (LP), 9 cases of LP-like keratosis, 5 cases ofcheilitis, and 3 cases of mucositis. Blinded assessment of the C3d staining was carried out by three pathologists. Fisherโs exacttest, the independent t-test, and kappa analysis were used for analyzing the sensitivity and specificity of C3d, which were 44%and 97%, respectively. C3d staining in dermoepithelial junctions confirmed DLE and excluded LP. C3d staining in DEJ isspecific for DLE but has low sensitivity.
Songklanakarin Journal of Science and Technology (SJST)

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