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新生儿红斑狼疮:临床特征、治疗及发病机制。

Neonatal lupus: clinical features, therapy, and pathogenesis.

作者信息

Lee L A

机构信息

Department of Dermatology, University of Colorado School of Medicine, 4200 East Ninth Avenue, Denver, CO 80262, USA.

出版信息

Curr Rheumatol Rep. 2001 Oct;3(5):391-5. doi: 10.1007/s11926-996-0009-3.

DOI:10.1007/s11926-996-0009-3
PMID:11564370
Abstract

Neonatal lupus is a disease characterized by one or more of the following findings: congenital heart block, cardiomyopathy, cutaneous lupus lesions, hepatobiliary disease, and thrombocytopenia. Accumulating evidence indicates that the disease is probably caused by maternal autoantibodies, particularly autoantibodies of the Ro family. While often initially asymptomatic, mothers tend to develop symptoms of connective tissue disease. This review discusses the recent advances in the understanding of neonatal lupus, its clinical features, therapy, and pathogenesis.

摘要

新生儿红斑狼疮是一种具有以下一种或多种表现的疾病

先天性心脏传导阻滞、心肌病、皮肤红斑狼疮病变、肝胆疾病和血小板减少症。越来越多的证据表明,该疾病可能由母体自身抗体引起,尤其是Ro家族的自身抗体。虽然母亲通常最初无症状,但往往会出现结缔组织病的症状。本文综述了新生儿红斑狼疮在认识、临床特征、治疗及发病机制方面的最新进展。

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Neonatal lupus: clinical features, therapy, and pathogenesis.新生儿红斑狼疮:临床特征、治疗及发病机制。
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Complete heart block in neonatal lupus: a forgotten cause of fetal bradycardia.新生儿狼疮中的完全性心脏传导阻滞:胎儿心动过缓的一个被遗忘的原因。
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本文引用的文献

1
Anti-SSA/Ro52 autoantibodies blocking the cardiac 5-HT4 serotoninergic receptor could explain neonatal lupus congenital heart block.抗SSA/Ro52自身抗体阻断心脏5-羟色胺能受体5-HT4可能是新生儿狼疮先天性心脏传导阻滞的原因。
Eur J Immunol. 2000 Oct;30(10):2782-90. doi: 10.1002/1521-4141(200010)30:10<2782::AID-IMMU2782>3.0.CO;2-9.
2
Cutaneous manifestations of neonatal lupus without heart block: characteristics of mothers and children enrolled in a national registry.无心脏传导阻滞的新生儿红斑狼疮的皮肤表现:纳入国家登记处的母亲和儿童的特征
J Pediatr. 2000 Nov;137(5):674-80. doi: 10.1067/mpd.2000.109108.
3
Anti-SSA/Ro and anti-SSB/La autoantibodies bind the surface of apoptotic fetal cardiocytes and promote secretion of TNF-alpha by macrophages.
Diagnostics (Basel). 2020 Aug 12;10(8):583. doi: 10.3390/diagnostics10080583.
4
The Ro 60 kDa autoantigen: insights into cellular function and role in autoimmunity.Ro 60 kDa自身抗原:对细胞功能及自身免疫中作用的深入了解
J Mol Med (Berl). 2004 Apr;82(4):232-9. doi: 10.1007/s00109-004-0529-0.
5
Neonatal lupus: clinical features and management.新生儿红斑狼疮:临床特征与管理
Paediatr Drugs. 2004;6(2):71-8. doi: 10.2165/00148581-200406020-00001.
6
A lupus-like syndrome develops in mice lacking the Ro 60-kDa protein, a major lupus autoantigen.在缺乏Ro 60-kDa蛋白(一种主要的狼疮自身抗原)的小鼠中会出现狼疮样综合征。
Proc Natl Acad Sci U S A. 2003 Jun 24;100(13):7503-8. doi: 10.1073/pnas.0832411100. Epub 2003 Jun 3.
抗SSA/Ro和抗SSB/La自身抗体结合凋亡胎儿心肌细胞表面,并促进巨噬细胞分泌肿瘤坏死因子-α。
J Immunol. 2000 Nov 1;165(9):5345-51. doi: 10.4049/jimmunol.165.9.5345.
4
The health of mothers of children with cutaneous neonatal lupus erythematosus differs from that of mothers of children with congenital heart block.患有皮肤型新生儿红斑狼疮患儿的母亲的健康状况与患有先天性心脏传导阻滞患儿的母亲不同。
Am J Med. 2000 Jun 15;108(9):705-9. doi: 10.1016/s0002-9343(00)00408-3.
5
Short- and long-term outcome of children with congenital complete heart block diagnosed in utero or as a newborn.宫内或新生儿期诊断为先天性完全性心脏传导阻滞儿童的短期和长期预后。
Pediatrics. 2000 Jul;106(1 Pt 1):86-91. doi: 10.1542/peds.106.1.86.
6
Comparison of treatment with fluorinated glucocorticoids to the natural history of autoantibody-associated congenital heart block: retrospective review of the research registry for neonatal lupus.氟化物糖皮质激素治疗与自身抗体相关先天性心脏传导阻滞自然病程的比较:新生儿狼疮研究登记处的回顾性研究
Arthritis Rheum. 1999 Nov;42(11):2335-45. doi: 10.1002/1529-0131(199911)42:11<2335::AID-ANR12>3.0.CO;2-3.
7
Defining a novel 75-kDa phosphoprotein associated with SS-A/Ro and identification of distinct human autoantibodies.鉴定一种与SS-A/Ro相关的新型75-kDa磷蛋白及不同人类自身抗体的识别。
J Clin Invest. 1999 Nov;104(9):1265-75. doi: 10.1172/JCI8003.
8
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The clinical spectrum of anti-Ro-positive cutaneous neonatal lupus erythematosus.抗Ro抗体阳性的皮肤型新生儿红斑狼疮的临床谱
J Am Acad Dermatol. 1999 May;40(5 Pt 1):675-81. doi: 10.1016/s0190-9622(99)70146-5.
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Scand J Rheumatol. 1999;28(2):100-5. doi: 10.1080/030097499442568.