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[婴儿对牛奶蛋白的消化不耐受。生物学和组织学研究]

[Digestive intolerance to cow's milk proteins in infants. Biological and histological study].

作者信息

Baudon J J, Fontaine J L, Mougenot J F, Navarro J, Polonovski C, Laplane R

出版信息

Arch Fr Pediatr. 1975 Nov;32(9):787-801.

PMID:1240751
Abstract

Biological and histological studies were performed in 42 cases of gastro-intestinal intolerance to cow's milk proteins. Hypoproteinemia was present in 2/3 of the cases, anemia in 3/4. Malabsorption syndrome (steatorrhea, xylose) was overt in less than 1 patient out of 2. Serum level of vitamin A was more frequently depressed than that of vitamin E and folinic acid. Intestinal biopsy, performed in 32 children, showed consistent abnormalities, a partial atrophy of the villi being most often seen (26 cases). Eosinophilia was present in 50% of the cases. A titer of anti-milk agglutinins of 1/64 or above was always found if the test was performed repeatedly when the diet of the children contained milk. Lymphocyte proliferation in culture, induced by milk proteins, was positive in 70% of the cases. None the less, no biological or histological findings were found to be specific for gastro-intestinal intolerance to milk proteins.

摘要

对42例对牛奶蛋白存在胃肠道不耐受的患者进行了生物学和组织学研究。2/3的病例存在低蛋白血症,3/4的病例存在贫血。不到二分之一的患者出现吸收不良综合征(脂肪泻、木糖)。血清维生素A水平比维生素E和亚叶酸更常降低。对32名儿童进行的肠道活检显示出一致的异常,最常见的是绒毛部分萎缩(26例)。50%的病例存在嗜酸性粒细胞增多。如果在儿童饮食中含有牛奶时反复进行检测,总能发现抗牛奶凝集素滴度达到1/64或更高。在70%的病例中,牛奶蛋白诱导的培养淋巴细胞增殖呈阳性。然而,未发现任何生物学或组织学结果对牛奶蛋白胃肠道不耐受具有特异性。

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