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白塞病中同形反应试验的重新评估

Re-evaluation of the pathergy test in Behçet's disease.

作者信息

Ozarmagan G, Saylan T, Azizlerli G, Ovül C, Aksungur V L

机构信息

Department of Dermatology, Istanbul Medical Faculty, University of Istanbul, Turkey.

出版信息

Acta Derm Venereol. 1991;71(1):75-6.

PMID:1676225
Abstract

A positive pathergy test in patients with Behçet's disease has been accepted as a diagnostic criterion by many authors, but in recent years it has been claimed that the test has a decreased positivity. We have examined the test in 92 proven cases of Behçet's disease, using 20G and 26G disposable needles and evaluated them after 48 h. Maximum positivity was found to be 65% when we used needles of size 0.9 mm (20G), but the reactivity was considerably less when 0.3 mm diameter (26G) needles were used. The disposable needles used nowadays are less traumatic to initiate the reaction than were the non-disposable ones used in the pre-AIDS era.

摘要

白塞病患者的阳性同形反应试验已被许多作者接受为诊断标准,但近年来有人声称该试验的阳性率有所下降。我们使用20G和26G一次性针头,对92例经证实的白塞病患者进行了该试验,并在48小时后对其进行评估。当我们使用0.9毫米(20G)的针头时,最大阳性率为65%,但使用直径0.3毫米(26G)的针头时,反应性明显较低。如今使用的一次性针头引发反应时造成的创伤比艾滋病流行前使用的非一次性针头小。

相似文献

1
Re-evaluation of the pathergy test in Behçet's disease.白塞病中同形反应试验的重新评估
Acta Derm Venereol. 1991;71(1):75-6.
2
Pathergy reaction in different body areas in Behçet's disease.白塞病不同身体部位的同形反应
Clin Exp Dermatol. 2007 Jan;32(1):85-7. doi: 10.1111/j.1365-2230.2006.02284.x. Epub 2006 Nov 27.
3
Comparative study of the skin pathergy test with blunt and sharp needles in Behçet's disease: confirmed specificity but decreased sensitivity with sharp needles.白塞病钝针与锐针皮肤针刺试验的对比研究:证实锐针特异性高但敏感性降低。
Ann Rheum Dis. 1993 Nov;52(11):823-5. doi: 10.1136/ard.52.11.823.
4
The usefulness of the nonspecific skin hyperreactivity (the pathergy test) in Behçet's disease in Turkey.非特异性皮肤高反应性(针刺反应试验)在土耳其白塞病中的应用价值。
Acta Derm Venereol. 1979;59(1):77-9.
5
The combined use of HLA-B5 and the pathergy test as diagnostic markers of Behçet's disease in Turkey.在土耳其,HLA - B5与针刺反应试验联合应用作为白塞病的诊断标志物。
J Rheumatol. 1980 Mar-Apr;7(2):206-10.
6
Behçet's syndrome. Immunopathologic and histopathologic assessment of pathergy lesions is useful in diagnosis and follow-up.白塞病。对同形反应性皮损进行免疫病理学和组织病理学评估,有助于诊断和随访。
Arch Pathol Lab Med. 1985 Aug;109(8):747-51.
7
Comparison of histopathologic and clinical evaluations of pathergy test in Behçet's disease.白塞病中针刺反应试验的组织病理学与临床评估比较
Int J Dermatol. 2000 Feb;39(2):121-5. doi: 10.1046/j.1365-4362.2000.00884.x.
8
Evaluation of application of multiple needle pricks on the pathergy reaction.对多针刺法在同形反应中的应用评估。
Int J Dermatol. 2008 Apr;47(4):335-8. doi: 10.1111/j.1365-4632.2008.03568.x.
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[Prick test in Behçet's disease (author's transl)].
Nihon Hifuka Gakkai Zasshi. 1974 Nov;84(11):517-22.
10
[The diagnostic difficulties in a case of Behçet's disease].[白塞病一例中的诊断困难]
Recenti Prog Med. 1993 Dec;84(12):850-4.

引用本文的文献

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Pathergy test with a 23G needle with and without self-saliva in patients with Behçet's disease, recurrent aphthous stomatitis and control group compared to the 20G test.与20G测试相比,对贝赫切特病、复发性阿弗他口炎患者及对照组进行23G针头有或无自身唾液的同形反应试验。
Reumatologia. 2021;59(5):302-308. doi: 10.5114/reum.2021.110567. Epub 2021 Nov 1.
2
Pathergy Phenomenon.同形反应现象
Front Med (Lausanne). 2021 May 25;8:639404. doi: 10.3389/fmed.2021.639404. eCollection 2021.
3
Diagnostic Sensitivity of Different Applications of Pathergy Test for Behçet's Disease.
白塞病针刺反应试验不同应用方式的诊断敏感性
Arch Rheumatol. 2019 Apr 15;35(1):29-34. doi: 10.5606/ArchRheumatol.2020.7380. eCollection 2020 Mar.
4
Comparative study of the skin pathergy test with blunt and sharp needles in Behçet's disease: confirmed specificity but decreased sensitivity with sharp needles.白塞病钝针与锐针皮肤针刺试验的对比研究:证实锐针特异性高但敏感性降低。
Ann Rheum Dis. 1993 Nov;52(11):823-5. doi: 10.1136/ard.52.11.823.
5
Behçet's disease.白塞病
BMJ. 1992 May 9;304(6836):1199-200. doi: 10.1136/bmj.304.6836.1199.