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白塞病中甲、乙、丙、戊型肝炎病毒的流行率。

Prevalences of hepatitis A, B, C and E viruses in Behçet's disease.

作者信息

Aksu K, Kabasakal Y, Sayiner A, Keser G, Oksel F, Bilgiç A, Gümüşdiş G, Doganavşargil E

机构信息

Division of Rheumatology, Department of Internal Medicine and Clinical Microbiology, Ege University School of Medicine, Bornova, Izmir, Turkey.

出版信息

Rheumatology (Oxford). 1999 Dec;38(12):1279-81. doi: 10.1093/rheumatology/38.12.1279.

Abstract

OBJECTIVE

To determine whether Behçet's disease (BD), being a systemic vasculitis of unknown aetiology, is associated with hepatitis viruses (HAV, HBV, HCV and HEV).

METHODS

In addition to 124 patients [male:female (M/F): 73/51], all fulfilling the diagnostic criteria of the International Study Group for BD (1991), 14 patients with systemic necrotizing vasculitis (M/F: 7/7), 47 patients with ankylosing spondylitis (M/F: 36/11) and 51 healthy controls (M/F: 22/29) were also included in this study. Serological markers of four different types of hepatitis (anti-HAV IgM, total anti-HAV, HBsAg, anti-HBs, total anti-HBc, anti-HBc IgM, anti-HCV and anti-HEV) were studied in all cases.

RESULTS

There was no difference between the groups with respect to HAV, HCV and HEV serologies. Anti-HBs positivity was observed less frequently in BD compared with healthy controls and systemic vasculitis (P<0.05).

CONCLUSION

Serological evidence of previous HAV, HCV and HEV infections was not significantly different between Behçet's patients and other groups. However, previous HBV infection was found in a significantly lower number of BD patients as compared with healthy controls and systemic vasculitic patients.

摘要

目的

白塞病(BD)作为一种病因不明的系统性血管炎,本研究旨在确定其是否与肝炎病毒(甲型肝炎病毒、乙型肝炎病毒、丙型肝炎病毒和戊型肝炎病毒)有关。

方法

除124例均符合国际白塞病研究组(1991年)诊断标准的患者[男/女(M/F):73/51]外,本研究还纳入了14例系统性坏死性血管炎患者(M/F:7/7)、47例强直性脊柱炎患者(M/F:36/11)和51例健康对照者(M/F:22/29)。对所有研究对象检测了四种不同类型肝炎的血清学标志物(抗甲型肝炎病毒IgM、抗甲型肝炎病毒总量、乙型肝炎表面抗原、乙型肝炎表面抗体、抗乙型肝炎核心抗体总量、抗乙型肝炎核心抗体IgM、抗丙型肝炎病毒和抗戊型肝炎病毒)。

结果

各研究组在甲型肝炎病毒、丙型肝炎病毒和戊型肝炎病毒血清学方面无差异。与健康对照者和系统性血管炎患者相比,白塞病患者乙型肝炎表面抗体阳性率较低(P<0.05)。

结论

白塞病患者与其他组相比,既往甲型肝炎病毒、丙型肝炎病毒和戊型肝炎病毒感染的血清学证据无显著差异。然而,与健康对照者和系统性血管炎患者相比,白塞病患者既往乙型肝炎病毒感染的人数明显较少。

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