Shirai S, Tomita K, Furukawa F
Department of Dermatology, Haibara General Hospital, Haibara, Shizuoka, Japan.
Eur J Dermatol. 1999 Mar;9(2):115-7.
We report a case of amyopathic dermatomyositis, in which C1q deposits on the epidermal nucleus were immunohistologically found as well as Ig deposits at the dermoepidermal junction (DEJ). Direct immunofluorescence (IF) examination of infiltrated erythematous lesions revealed C1q deposits on the epidermal nucleus and fibrinogen at the DEJ, and examination of hyperkeratotic erythematous lesions showed linear deposits of Ig G and Ig A at the DEJ but not in the nuclei of epidermal cells. The authors discuss the direct in vivo interaction between nucleus and immunoreactants in dermatomyositis.
我们报告了一例无肌病性皮肌炎病例,免疫组织化学检查发现表皮细胞核上有C1q沉积,同时在真皮表皮交界处(DEJ)有Ig沉积。对浸润性红斑病变进行直接免疫荧光(IF)检查发现表皮细胞核上有C1q沉积,DEJ处有纤维蛋白原沉积;对角化过度的红斑病变检查显示,DEJ处有IgG和IgA线性沉积,但表皮细胞核中无沉积。作者讨论了皮肌炎中细胞核与免疫反应物之间的直接体内相互作用。