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[多发性硬化症及其他自身免疫性疾病]

[Multiple sclerosis and other autoimmune diseases].

作者信息

Belniak Ewa, Stelmasiak Zbigniew, Papuć Ewa

机构信息

Katedra i Klinika Neurologii, Akademia Medyczna im. prof. Feliksa Skubiszewskiego w Lublinie, Lublin.

出版信息

Neurol Neurochir Pol. 2007 May-Jun;41(3):259-66.

Abstract

Autoimmune diseases are caused by a defect of the human immune system characterised by an inability to recognize their own antigens and by a pathological response against these antigens. Although the aetiology of these diseases is unknown, there is a number of cellular and molecular mechanisms which can underlie these reactions. Complex interactions between genetic, infectious and/or environmental factors probably contribute to the presence of these diseases. Autoimmune diseases affect 3-8% of the general population; women account for 78-85% of all patients with autoimmune diseases. Although most of those diseases are systemic, some of them primarily affect a single organ or structure. Rarely, a few autoimmune diseases coexist in one person, which can suggest similar pathogenetic mechanisms. In this article we present a review of the literature on coexistence of multiple sclerosis and other autoimmune diseases such as systemic lupus erythematosus, rheumatoid arthritis, chronic active hepatitis, type 1 diabetes mellitus, uveitis, pemphigus, psoriasis, Crohn's disease, inflammatory bowel disease, anaemia and autoimmune thyroiditis.

摘要

自身免疫性疾病是由人体免疫系统缺陷引起的,其特征是无法识别自身抗原并对这些抗原产生病理反应。尽管这些疾病的病因尚不清楚,但有许多细胞和分子机制可能是这些反应的基础。遗传、感染和/或环境因素之间的复杂相互作用可能导致这些疾病的出现。自身免疫性疾病影响着3%至8%的普通人群;女性占所有自身免疫性疾病患者的78%至85%。尽管这些疾病大多是全身性的,但其中一些主要影响单个器官或结构。极少数情况下,一个人会同时存在几种自身免疫性疾病,这可能提示存在相似的发病机制。在本文中,我们对有关多发性硬化症与其他自身免疫性疾病(如系统性红斑狼疮、类风湿性关节炎、慢性活动性肝炎、1型糖尿病、葡萄膜炎、天疱疮、银屑病、克罗恩病、炎症性肠病、贫血和自身免疫性甲状腺炎)共存的文献进行综述。

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