• J. Neuroimmunol. · May 2005

    Comparative Study

    Immune responses to Campylobacter and serum autoantibodies in patients with complex regional pain syndrome.

    • Andreas Goebel, Heiko Vogel, Onassis Caneris, Zahid Bajwa, Linda Clover, Norbert Roewer, Robert Schedel, Helge Karch, Guenter Sprotte, and Angela Vincent.
    • Nuffield Department of Anaesthetics, University of Oxford, John Radcliffe Hospital, Oxford Ox3 9DS, UK. andreasgoebel@rocketmail.com
    • J. Neuroimmunol. 2005 May 1;162(1-2):184-9.

    AbstractWe hypothesised that some complex regional pain syndromes (CRPS) may have a postinfectious and/or autoimmune basis. Sera from 92 patients with CRPS and 92 controls were investigated for immunoreactivity to Campylobacter strains and to rodent tissues. Both IgA-antibodies to Campylobacter and tissue-specific reactivity were often present in patients with short disease duration (< or = 1.5 years). Patients with minimal preceding trauma had stronger nervous tissue-specific reactivity than other patients, regardless of disease duration. These results provide preliminary evidence for immune activation early in CRPS and, additionally, that patients with minimal trauma may comprise an autoimmune subgroup.

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