Fairfax A J, Leatham A
Br Med J. 1975 Nov 8;4(5992):322-4. doi: 10.1136/bmj.4.5992.322.
Out of 100 patients with chronic heart block 16 had one or more autoimmune disorders-namely, vitiligo (5,) hypothyroidism (4), Graves's disease (1), pernicious anaemia (2), and diabetes mellitus (9). All these disorders occurred with greater frequency than normal and were more prevalent than in a group of hospital inpatients of comparable age. Autoantibodies were not increased. We suggest that among patients with idiopathic heart block there is a subgroup with multiple autoimmune disorders.
在100例慢性心脏传导阻滞患者中,16例患有一种或多种自身免疫性疾病,即白癜风(5例)、甲状腺功能减退症(4例)、格雷夫斯病(1例)、恶性贫血(2例)和糖尿病(9例)。所有这些疾病的发生频率均高于正常水平,且比一组年龄相仿的住院患者更为普遍。自身抗体并未增加。我们认为,在特发性心脏传导阻滞患者中,存在一个患有多种自身免疫性疾病的亚组。