Lusvarghi E, Quaglino D, Rivasi P
Minerva Med. 1975 Dec 15;66(86):4613-24.
Two cases of essential mixed cryoglobulinaemia selected from a personal series on account of their clinical features (hyperviscosity syndrome in one case and frank renal involvement in the other) are presented. Extensive seroimmunological examinations were carried out, along with histopathological studies designed to reveal significant changes in organs and tissues, particularly the skin and kidneys. Reference is briefly made to the debate pathogenesis of the immunological phenomenon that probably lies at the root of the disease. A short account is also given of attempts at treatment with corticosteroids, immunosuppressors and plasmapheresis.
本文介绍了从个人病例系列中挑选出的两例原发性混合性冷球蛋白血症病例,其中一例表现为高黏滞综合征,另一例有明显的肾脏受累。进行了广泛的血清免疫学检查,同时开展了组织病理学研究,旨在揭示器官和组织尤其是皮肤和肾脏的显著变化。文中简要提及了可能是该病根源的免疫现象的发病机制争论。还简要介绍了使用皮质类固醇、免疫抑制剂和血浆置换进行治疗的尝试。