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Anti-Histone Antibodies in Shanthi Nagar, Bangalore

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blood sample
SAMPLE TYPE

BLOOD

Gender
GENDER

Both

users
AGE GROUP

7 years & above

Autoimmune diseases occur when the immune system targets the healthy cells of the body by mistake. Due to the genetic mutations, the body goes through hyperactivity or abnormally low activity of the immune system.

Lupus is one such autoimmune disease that affects the connective tissues of the body. It causes inflammation and tissue damage in various organs of the body. It also spreads to the joints, kidneys, skin, brain, lungs, and blood vessels.

There are various types of lupus disease, such as systemic lupus erythematosus and drug-induced lupus erythematosus. While both the diseases exhibit similar symptoms, the latter is caused by a reaction to certain drugs and doesn't impact significant organs of the body.

In addition, patients above the age of 50 or older undergoing medical treatments are more likely to develop DIL erythematosus. As a result of the reaction, the body produces anti-histones to counter the impact of the perceived pathogens, I.e., the body's healthy cells. Histones are a type of protein found in chromosomes and help in controlling the activity of genes.

The most common medications leading to drug-induced lupus erythematosus are: 

  • Isoniazid
  • Hydralazine
  • Tumour-necrosis factor (TNF) alpha inhibitors (such as infliximab, etanercept, and adalimumab)
  • Minocycline
  • Quinidine
  • Procainamide
  • Minocycline 
  • Methyldopa
  • Sulfasalazine
  • Levamisole
  • Quinidine 
  • Capoten
  • Chlorpromazine 
  • Anti-seizures medications 
  • Cancer immunotherapy medication like pembrolizumab

The DIL develops after months and sometimes years of consumption of the medicines. The most commonly seen symptoms of the disease include: 

  • Muscular pain
  • Joint pain with swelling
  • Chronic fever
  • Consistent tired feeling and fatigue 
  • Weight loss
  • Inflammation around lungs and heart
  • Unexplainable pain and discomfort in the body

Since the signs and symptoms of DIL and SLE are similar, the diagnosis is very challenging. That's why medical experts prescribe an anti-histone antibody test. Other than various screening methods, including skin biopsy, the antibody blood test helps in conclusively determining the appearance of the symptoms.

Upon request, an authorized lab technician collects the blood sample of the patient to analyse the antibodies in the serum produced. The expert performs venipuncture on any body part of the patient, usually the arm. After cleaning the body part with antiseptic, the technician inserts a surgical needle to extract the blood from visible veins for anti-histone antibodies test.

Generally, the patient feels slight pain at the time of needle insertion, which subsides within a few minutes. The other symptoms, like bruising, also disappear in a few days. However, there might be a few complications that can occur in rare cases, such as: 

  • Dizziness during blood collection
  • A sudden drop in blood pressure 
  • Temporary consciousness loss 
  • Blood leakage at the site of venipuncture 
  • Bruise formation
  • Arterial thrombosis 
  • Type 1 hypersensitivity reactions 
  • Phlebitis 
  • Sepsis

If the symptoms prolong even after 1-3 days after the collection, the patient must take immediate medical help.

Apollo 24|7 offers a verified network of 100 laboratories across the country for Antihistone antibodies blood tests. After detecting the presence of histones antibody, the doctor prescribes a number of treatments to alleviate the symptoms and control the progression, such as: 

  • Discontinuation of reactionary drugs 
  • Anti-inflammatory drugs 
  • Corticosteroids 
     

faqFrequently Asked Questions (FAQs)

What are the general recommendations for drug-evoked lupus management?

The treatment depends on the signs and symptoms exhibited by the patient. However, the most common recommendations of the experts consist of sun protection, proper diet and nutrition, exercise, smoking regulations, proper immunization, and comorbid condition management.

What are the treatments provided to patients of mild to moderate lupus disease?

While dosages might vary from one case to another, the usual treatment prescriptions include:  Discontinuation of the offending drugs  NSAIDs to control inflammation, including salicylates  Antimalarial drugs to prevent flares, such as hydroxychloroquine  Corticosteroids for regulating blood pressure  Immunosuppressive agents in severe lupus cases Supplementation of monoclonal antibodies

Is there any cure for systemic lupus erythematosus?

Currently, there is no cure for lupus diseases, including SLE. However, the available treatments are effective in managing the symptoms, controlling remission, and regulating bursts of occurrence.

What are the symptoms of drug-induced lupus erythematosus?

The most common symptoms of drugs evoked lupus are:  Muscle and joint pain with swelling Flu-like symptoms  Chronic fever and fatigue  Inflammation around the lungs or heart  Certain bodily abnormalities

How much time does drug-evoked lupus take to develop?

It generally takes several months to years for lupus symptoms to appear with continuing therapy and medication. However, in certain drugs like hydralazine, the symptom onset and occurrence are more likely than the other medications.

What are anti-histone antibodies?

Antihistone autoantibodies are a type of antinuclear antibody that targets histone protein in the body. Due to the formation of such antibodies, various autoimmune diseases flare up, leading to hyperactivity and abnormally low activity of the immune system at the same time.

Which medications cause drug-evoked lupus in humans?

The most common medications consist of:  Isoniazid Hydralazine Capoten Chlorpromazine  Anti-seizures medications  Cancer immunotherapy medication like pembrolizumab  Procainamide Minocycline  Minocycline Quinidine  Methyldopa Sulfasalazine Levamisole Quinidine

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The information mentioned above is meant for educational purposes only and should not be taken as a substitute to your Physician’s advice. It is highly recommended that the customer consults with a qualified healthcare professional to interpret test results