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[皮肤型红斑狼疮与心磷脂抗体。发病率及临床意义]

[Cutaneous lupus erythematosus and cardiolipin antibodies. Incidence and clinical significance].

作者信息

Kind P, Schuppe H C, Jung K P, Degitz K, Lakomek H J, Goerz G

机构信息

Hautklinik, Heinrich Heine-Universität Düsseldorf.

出版信息

Hautarzt. 1992 Mar;43(3):126-9.

PMID:1577599
Abstract

In recent years, the importance of antiphospholipid antibodies in systemic lupus erythematosus and various other dermatological and internal diseases has been recognized. Characteristic symptoms associated with these antibodies are venous and arterial thrombosis, recurrent fetal loss, thrombocytopenia, and haemolytic anaemia. Two antiphospholipid antibody subgroups that are clinically relevant can be discerned: anticardiolipin antibodies and lupus coagulant. In this study, 51 clinically well-characterized patients with predominantly cutaneous lupus erythematosus were screened for the presence of anticardiolipin antibodies. Anticardiolipin antibodies could be detected in only three patients. These data suggest that, in patients with cutaneous lupus erythematosus, anticardiolipin antibodies should be measured only in the presence of symptoms associated with antiphospholipid antibodies.

摘要

近年来,抗磷脂抗体在系统性红斑狼疮以及其他各种皮肤病和内科疾病中的重要性已得到认可。与这些抗体相关的特征性症状包括静脉和动脉血栓形成、反复流产、血小板减少症和溶血性贫血。临床上相关的两个抗磷脂抗体亚组可被识别:抗心磷脂抗体和狼疮抗凝物。在本研究中,对51例临床表现明确、以皮肤型红斑狼疮为主的患者进行了抗心磷脂抗体检测。仅在3例患者中检测到抗心磷脂抗体。这些数据表明,对于皮肤型红斑狼疮患者,仅在出现与抗磷脂抗体相关的症状时才应检测抗心磷脂抗体。

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