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[儿童乙型肝炎感染与原发性肾小球肾炎]

[Hepatitis B infection and primary glomerulonephritis in children].

作者信息

Naumova V I, Ilamanov M, Ivanov V G, Ni A N

出版信息

Pediatriia. 1991(7):57-62.

PMID:1754329
Abstract

Out of 165 children presenting with renal pathology, HBV-infection was detected by RIA in 69.7% of children suffering from glomerulonephritis and in 30.8% of children with pyelonephritis. The infection manifested by the carriage of HBs-antigen and persistent hepatitis. Unlike the control group (without HBv-infection), in patients with HBv-infection, glomerulonephritis was characterized by the development of a prognostically unfavourable mixed form there of in children under 7 years, by rare cases of the onset of a complete remission consequent to immunosuppressive therapy, a decline of the level of serum IgG and the T lymphocyte count, a reduction of the helper/suppressor ratio to 1.21 at the expense of a decrease of the number of helpers, and a higher amount of lymphocytes expressing receptors to IL-2.

摘要

在165例有肾脏病变的儿童中,通过放射免疫分析(RIA)检测发现,69.7%的肾小球肾炎患儿和30.8%的肾盂肾炎患儿存在乙肝病毒(HBV)感染。感染表现为HBs抗原携带和持续性肝炎。与对照组(无HBV感染)不同,HBV感染患者的肾小球肾炎特点为:7岁以下儿童出现预后不良的混合型;免疫抑制治疗后完全缓解的病例罕见;血清IgG水平和T淋巴细胞计数下降;辅助性T细胞/抑制性T细胞比例降至1.21,主要是由于辅助性T细胞数量减少;表达白细胞介素-2受体的淋巴细胞数量增多。

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