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心得宁与眼毒性。血清及泪液中的抗体。

Practolol and ocular toxicity. Antibodies in serum and tears.

作者信息

Garner A, Rahi A H

出版信息

Br J Ophthalmol. 1976 Oct;60(10):684-6. doi: 10.1136/bjo.60.10.684.

DOI:10.1136/bjo.60.10.684
PMID:1087569
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1042809/
Abstract

Serological studies in 22 patients presenting with ocular disease attributable to dosage with the beta-blocking agent practolol revealed a raised incidence of antinuclear antibodies. There was also a marginal increase in the incidence of antibodies to smooth muscle in the more severely affected individuals but the incidence of ther autoantibodies and levels of IgG, IgA, and IgM were within normal limits. Semi-quantitative analysis of tears from 14 of the patients showed absence or near absence in the more severely affected patients of secretory IgA, which is indicative of damage to the lacrimal gland. Other immunological parameters in the tears were normal.

摘要

对22例因使用β受体阻滞剂心得宁而出现眼部疾病的患者进行的血清学研究显示,抗核抗体的发生率有所升高。在病情较重的个体中,平滑肌抗体的发生率也略有增加,但这些自身抗体的发生率以及IgG、IgA和IgM水平均在正常范围内。对14例患者眼泪的半定量分析表明,病情较重的患者分泌型IgA缺乏或几乎缺乏,这表明泪腺受到了损害。眼泪中的其他免疫参数正常。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a38/1042809/d0a8a6db6aaa/brjopthal00250-0014-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a38/1042809/ac2ee3f694bc/brjopthal00250-0014-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a38/1042809/d0a8a6db6aaa/brjopthal00250-0014-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a38/1042809/ac2ee3f694bc/brjopthal00250-0014-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a38/1042809/d0a8a6db6aaa/brjopthal00250-0014-b.jpg

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本文引用的文献

1
Immunochemical quantitation of antigens by single radial immunodiffusion.通过单向辐射免疫扩散法对抗原进行免疫化学定量。
Immunochemistry. 1965 Sep;2(3):235-54. doi: 10.1016/0019-2791(65)90004-2.
2
Cutaneous and ocular reactions to practolol.心得宁的皮肤及眼部反应。
Br Med J. 1974 Nov 9;4(5940):321-4. doi: 10.1136/bmj.4.5940.321.
3
Practolol-induced drug eruption.心得宁诱发的药疹。
4
Immunoglobulin concentrations in human tears in ocular diseases.眼部疾病患者泪液中的免疫球蛋白浓度
Br J Ophthalmol. 1979 May;63(5):297-300. doi: 10.1136/bjo.63.5.297.
Proc R Soc Med. 1973 Feb;66(2):179-81. doi: 10.1177/003591577306600234.
4
Untoward effects associated with practolol: demonstration of antibody binding to epithelial tissue.与心得宁相关的不良反应:抗体与上皮组织结合的证明。
Br Med J. 1975 Mar 15;1(5958):598-600. doi: 10.1136/bmj.1.5958.598.
5
Pathology of practolol-induced ocular toxicity.心得宁所致眼毒性的病理学
Br J Ophthalmol. 1976 May;60(5):312-23. doi: 10.1136/bjo.60.5.312.