Ramos V, Castro M A, de la Iglesia F, Martínez M M, Juega J, Sánchez P, Barbuzano C, Pedreira J D
Servicio de Medicina Interna B, Hospital Juan Canalejo, La Coruña.
An Med Interna. 1992 Nov;9(11):538-42.
Disorders in serum immunoglobulins, beta-2 microglobulin and lymphocyte subpopulations in parenterally drug-addict patients (PDAP) are analyzed. The study is divided in three parts. In the first one, a group of 33 HIV-negative PDAP without intercurrent diseases is compared with a control group of healthy non-addict persons. In the second part, the differences between a group of 58 HIV-negative PDAP and a group of 95 HIV-positive PDAP are studied. In the third part, the differences between the group of HIV-negative PDAP without associated procedures and a subgroup of HIV-positive patients including 31 asymptomatic carriers in phase II, are studied. No statistically significant differences were detected between the control group and the HIV-negative PDAP group. The HIV-positive PDAP group showed lymphocytes CD3, CD4 and a CD4/CD3 ratio statistically lower than the HIV-negative group, as well as a significant increase of the immunoglobulin IgG and beta-2 microglobulin. The same results were obtained when the subgroup of HIV-positive patients in phase II was compared with the group of HIV-negative PDAP without intercurrent diseases. According to these results, we conclude that the immunological disorders detected in PDAP patients seem to be more related with the infection by the human immunodeficiency virus and with other associated infections than with the drug-addiction itself.
分析了静脉注射吸毒患者(PDAP)血清免疫球蛋白、β2微球蛋白和淋巴细胞亚群的紊乱情况。该研究分为三个部分。第一部分,将一组33例无并发疾病的HIV阴性PDAP患者与一组健康非吸毒者对照组进行比较。第二部分,研究一组58例HIV阴性PDAP患者与一组95例HIV阳性PDAP患者之间的差异。第三部分,研究无相关并发症的HIV阴性PDAP患者组与包括31例处于二期的无症状携带者的HIV阳性患者亚组之间的差异。在对照组和HIV阴性PDAP组之间未检测到统计学上的显著差异。HIV阳性PDAP组的淋巴细胞CD3、CD4及CD4/CD3比值在统计学上低于HIV阴性组,同时免疫球蛋白IgG和β2微球蛋白显著增加。当将处于二期的HIV阳性患者亚组与无并发疾病的HIV阴性PDAP患者组进行比较时,得到了相同的结果。根据这些结果,我们得出结论,在PDAP患者中检测到的免疫紊乱似乎与人类免疫缺陷病毒感染及其他相关感染的关系更大,而非与吸毒成瘾本身相关。