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DISTRIBUTION OF ANTI-NUCLEAR ANTIBODY PATTERN BY IMMUNOFLUORESCENCE TEST AT UKMMC IN 2015

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UNIVERSITI TEKNOLOGI MARA

i i s s

UNIVERSITI TEKNOLOGI MARA

DISTRIBUTION OF ANTI-NUCLEAR ANTIBODY PATTERN BY IMMUNOFLUORESCENCE TEST AT UKMMC IN 2015

NUR FARHANI HUSNA BINTI AZIZAN

Dissertation submitted in partial fulfillment of the requirement for Diploma in Medical Laboratory Technology

Faculty of Health Sciences

September 2015

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DECLARATION

I declare that the work in this thesis was carried out in accordance with the regulation of Universiti Teknologi MARA. This thesis is original and it is from my own work. This thesis has not been submitted to any other academic institution or non-academic institution for any diploma or qualification.

I, hereby, acknowledge that I have been supplied with Academic Rules and Regulation of Universiti Teknologi MARA, regulation the conduct of my study and research.

Name of Student. Nur Farhani Husna Binti Azizan

Student I D Number: 2013408894

Programme: Diploma in Medical Laboratory Technology (HS111)

Faculty: Health Science

Dissertation Tittle: Distribution of Anti-Nuciear Antibody Pattern by

Immunofluorescence Test at UKMMC In 2015

Signature of Studeni:

Date: ( o / ' O / i o / r

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APPROVAL

This final year project report entitled “Distribution of Anti-Nuclear Antibody Pattern by Immunofluorescence Test at UKMMC In 2015” was submitted by Nur Farhani Husna Binti Azizan, student I D number 2013408894 in partial fulfillment of the requirement for the Diploma in Medical Laboratory Technology in the Faculty of Health Sciences and was approved by:

ZAKARIA ISMAIL Supervisor

Faculty of Health Science Universiti Teknologi MARA

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ACKNOWLEDGEMENT

First and above all, I praise God, the almighty for providing me this opportunity and granting me the capability to perform this study successfully. Appreciation goes to the following names for their continuous support and valuable contribution towards the completion of the dissertation entitled “Distribution of Anti-Nuclear Antibody Pattern by Immunofluorescence Test at UKMMC In 2015”:

Big thanks go to my supervisor, Mr. Zakaria Ismail that always giving his bests in helping me with this study and never disappoint me every time I need his help.

Besides, I would like to express my deepest gratitude to Mr. Rosmadi Baharin, my local preceptor who has always been so caring dan eases my thesis and my practical session.

I would like to thank my dear parent- Mr. Azizan Hassan and Mdm. Che Siti Ibrahim for their love and support for all the time of my life. Also to my family, for their non­

stop supporting me until the end of my practical session, especially to my elder sister, Mdm. Selmah Azizan for her help every time I am in struggle and never stop caring me.

Also not to be forgotten Nurhidayah Mohd Hidzir, Nur Ain Kamaruzzaman and Nur Syamimi Sazali who are good friends that always willing to help, support and give their best suggestion all along this practical session. It would be really hard without you guys. Thank you.

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ABSTRACT

DISTRIBUTION OF ANTI-NUCLEAR ANTIBODY PATTERN BY IMMUNOFLUORESCENCE TEST AT UKMMC IN 2015

Antibody is a glycoprotein which mediates humoral immunity. Antibody- dependent cellular cytotoxicity is one of the ways how antibodies help to defend the body. In normal conditions, if an antigen is present on the patient red blood cells, the corresponding antibody will not be present in the patient plasma. However, when an antibody developed against its own self is happen, the patient then said to have an autoimmune disease. The antibodies that are created by the body against its own cell nuclei are called as anti-nuclear antibodies.

The objective of this study is to recognize the common pattern of anti-nuclear antibody pattern using immunofluorescence test found at Universiti Kebangsaan Malaysia Medical Center. The data was classified into two types- general and specific data. Demographic data such as gender and age were also collected. The collected data then was described in numbers and percentages. All positive ANA IF tests from January 2015 to June 2015 was included while the duplicate ANA IF tests from the same patient between the study periods was excluded.

The result shows 179 positive cases of ANA IF. Speckled was found as the most pattern of ANA IF with dominant 101 cases out of total 179 cases. Besides, Malay found as the most affected ethnic while adults age range between 36-59 years old were associated with positive ANA IF. Female gave an outstanding finding that dominate 86.03% of the research while the remaining 13.97% belongs to male.

Key words: Anti-nuclear antibody pattern, Immunofluorescence Test

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