Table B. ICAP nomenclature for the description of fluorescence patterns and corresponding clinical significance.
ICAP code | Fluorescence pattern | Clinical significance* |
---|---|---|
Nuclear | ||
AC-1 | Nuclear homogenous fluorescence | SLE, drug-induced lupus, JIA |
AC-2 | Nuclear dense fine speckled | Rare in SjS, SSc, and SLE, more often in healthy individuals and different non-autoimmune inflammatory diseases (atopic dermatitis, asthma, etc.) |
ICAP code | Fluorescence pattern | Clinical significance* |
AC-3 | Centromere fluorescence | Limited cutaneous SSc, PBC |
AC-4 | Nuclear fine speckled fluorescence | SjS, SLE, dermatomyositis |
AC-5 | Nuclear large/coarse speckled | MCTD, SLE, SSc |
AC-6 | Fluorescence of multiple nuclear dots | PBC, SARDs, dermatomyositis |
AC-7 | Fluorescence of few nuclear dots | SjS, SLE, SSc, polymyositis, asymptomatic individuals |
AC-8 | Homogenous nucleolar fluorescence | SSc, SSc/PM overlap syndrome |
AC-9 | Clumpy nucleolar fluorescence | SSc |
AC-10 | Punctate nucleolar fluorescence | SSc, SjS |
AC-11 | Smooth nuclear envelope fluorescence | SLE, SjS, seronegative arthritis |
AC-12 | Punctate nuclear envelope fluorescence | PBC |
AC-13 | PCNA-like fluorescence | SLE, other disorders |
AC-14 | CENP-F – like fluorescence | Carcinomas, other disorders |
AC-29 | Topo-I like fluorescence | SSc |
Cytoplasmic | ||
AC-15 | Cytoplasmic fibrillar linear fluorescence | MCTD, chronic active hepatitis, cirrhosis, myasthenia gravis, Morbus Crohn, PBC, long-term haemodialysis, rare in SARDs |
AC-16 | Cytoplasmic fibrillar filamentous fluorescence | Infective or inflammatory disorders, long-term haemodialysis, alcoholic liver disease, SARDs, psoriasis, healthy individuals |
AC-17 | Cytoplasmic fibrillar segmental fluorescence | Myasthenia gravis, Morbus Crohn, ulcerative colitis |
AC-18 | Fluorescence of cytoplasmic discrete dots/GW body-like | PBC, SARDs, different neurologic and autoimmune disorders |
AC-19 | Cytoplasmic dense fine speckled fluorescence | Anti-synthetase syndrome, polymyositis/dermatomyositis, SLE, juvenile SLE, neuropsychiatry SLE |
AC-20 | Cytoplasmic speckled fluorescence | Anti-synthetase syndrome, polymyositis/dermatomyositis, limited SSc, idiopathic pleural effusion |
AC-21 | Cytoplasmic reticular fluorescence/AMA | Often in PBC and SSc, rare in other SARDs |
AC-22 | Cytoplasmic polar/Golgi like fluorescence | Rare in SjS, SLE, RA, MCTD, GPA, idiopathic cerebral ataxia, paraneoplastic cerebral degeneration, virus infections |
AC-23 | “Rods & Rings “ fluorescence | HCV patients after IFN-γ/ribavirin therapy, rare in SLE, Hashimoto thyroiditis and healthy individuals |
Mitotic | ||
AC-24 | Centrosome fluorescence | Rare in SSc, Raynaud syndrome, infection with viruses and mycoplasmas |
AC-25 | Fluorescence of spindle fiber | Rare in SjS, SLE, and other CTDs |
AC-26 | NuMA-like fluorescence | SjS, SLE, other disorders |
AC-27 | Fluorescence of intercellular bridge | Rare in SSc, Raynaud syndrome and malignancies |
AC-28 | Mitotic chromosomal fluorescence | Rare in discoid lupus erythematosus, chronic lymphatic leukemia, SjS, and polymyalgia rheumatica |
*Report should contain description of fluorescence pattern with corresponding AC number, without clinical significance. Instead, link to the ICAP web site where corresponding clinical significance can be found should be given in the comment of the report. ICAP – International consensus on antinuclear antibody pattern. SLE – Systemic lupus erythematosus. JIA – juvenile idiopathic arthritis. SjS – Sjögren syndrome. SSc – Systemic sclerosis. PBC – Primary biliary cholangitis. MCTD – mixed connective tissue disease. SARD – systemic autoimmune rheumatic diseases. PCNA – Antibodies to proliferating cell nuclear antigen. CENP-F – centromere protein F. Scl-70 – 70kDa antigen associated with scleroderma. PM – polymyositis. GW body – G (glycine) and W (tryptophan) containing body. AMA – antimitochondrial antibodies. HCV – hepatitis C virus. GPA – granulomatosis with polyangiitis. IFN-γ – interferon gamma. CTD – connective tissue diseases. NuMA – nuclear mitotic apparatus protein. |