Bach-Ngohou K, Schmitt S, Le Carrer D, Masson D, Denis M
Laboratoire de biochimie spécialisée, Centre hospitalier universitaire, Hôtel-Dieu de Nantes, France.
Ann Biol Clin (Paris). 2005 Mar-Apr;63(2):127-34.
Albumin is the major circulating protein. It plays a fundamental role maintaining intra-vascular oncotic pressure and carrying many endogenous and exogenous substances. Variations of plasma albumin levels can be physiologic or pathologic and both qualitative and quantitative (more frequent) disorders are regrouped under the name "dysalbuminemia". Although hypoalbuminemia are frequent, analbuminemia exists but is a rare disease. Qualitative disorders, mainly bisalbuminemia, are benign. Detected fortuitously on sera protein electrophoresis, bisalbuminemia could be genetically transmitted, it will then be permanent, or acquired and then be transient. This article proposes to review main kind of dysalbuminemia usually encountered in clinical biology laboratories.
白蛋白是主要的循环蛋白。它在维持血管内胶体渗透压以及携带许多内源性和外源性物质方面发挥着重要作用。血浆白蛋白水平的变化可能是生理性的或病理性的,定性和定量(更常见)紊乱都被归类为“白蛋白异常血症”。虽然低白蛋白血症很常见,但无白蛋白血症存在但却是一种罕见疾病。定性紊乱主要是双白蛋白血症,是良性的。双白蛋白血症在血清蛋白电泳时偶然被检测到,可能是遗传传递的,那么它将是永久性的,或者是后天获得的,然后是短暂的。本文旨在综述临床生物学实验室中通常遇到的主要类型的白蛋白异常血症。