Kobayashi Yoshiki, Yasuba Hirotaka, Kita Hideo, Hamada Kazuyuki, Chihara Junichi
Department of Respiratory and Allergy Medicine, Takatsuki Red Cross Hospital.
Arerugi. 2004 Dec;53(12):1210-5.
These days some reports say that bronchial asthma, especially severe asthma, is systemic inflammatory and its severity correlates with eosinophil counts. Some patients with asthma have positive tests for rheumatoid factor (RF) which is detected in systemic hyper immunoreactive desease such as rheumatoid arthritis. So we investigated each of these factors in asthmatic patients. We randomly selected 100 asthmatics from regular outpatients of our hospital. In a positive RF level group (over 21 IU/ml), Eosinophil counts were significantly higher than those in a negative RF level group. RF levels were significantly and positively correlated with the logarithm of eosinophil count. And in severe groups (patients with severe asthma, treated with high dose inhaled steroids, and with history of systemic steroids use for the last one month), RF levels were significantly higher than those in other groups. Our result suggested that RF levels reflect eosinophilia and asthma severity.
近来一些报告称,支气管哮喘,尤其是重度哮喘,具有全身性炎症,其严重程度与嗜酸性粒细胞计数相关。一些哮喘患者类风湿因子(RF)检测呈阳性,类风湿因子在类风湿关节炎等全身性高免疫反应性疾病中可检测到。因此,我们对哮喘患者的这些因素进行了逐一研究。我们从我院的普通门诊患者中随机选取了100名哮喘患者。在RF水平阳性组(超过21 IU/ml)中,嗜酸性粒细胞计数显著高于RF水平阴性组。RF水平与嗜酸性粒细胞计数的对数呈显著正相关。并且在重度组(重度哮喘患者,接受高剂量吸入性类固醇治疗,且在过去一个月有全身性类固醇使用史)中,RF水平显著高于其他组。我们的结果表明,RF水平反映了嗜酸性粒细胞增多和哮喘严重程度。