Pérez N, Lasarte P, Bibiloni N, Dejean C, Spizzirri F
Hospital de Niños S. M. Ludovica, La Plata, Instituto G. Malbrán, Buenos Aires, Argentina.
Medicina (B Aires). 1991;51(3):233-7.
Hemolytic uremic syndrome (HUS) is a serious problem in Argentina, where 50% of the known cases are reported to come from. In the so-called "typical" HUS, anemia, thrombocytopenia and acute renal failure are usually preceded by an episode of infection. Many agents such as bacteria, toxins and viruses have been linked with the prodromal episode, but the reason for the occurrence of HUS in only a small portion of individuals with identical previous symptoms, is not clear. The hypothesis of a particular immune response modifying the susceptibility of some hosts to develop the syndrome after an otherwise well tolerated infection is not formally excluded. The aim of our work was to explore some immunological parameters in order to add more data concerning the immunologic changes occurring during the acute phase of HUS in 24 pediatric patients. We coincide with previous authors on the normal values of serum complement levels and the increase of IgG, IgA and IgM concentrations. (Table 1). We also report a significant and transient decrease in the percentage of T lymphocytes and an increase in the relative number of B lymphocytes.(ABSTRACT TRUNCATED AT 250 WORDS)
溶血性尿毒症综合征(HUS)在阿根廷是一个严重问题,据报道已知病例中有50%来自该国。在所谓的“典型”HUS中,贫血、血小板减少和急性肾衰竭通常在感染发作之前出现。许多病原体如细菌、毒素和病毒都与前驱发作有关,但在仅有一小部分有相同既往症状的个体中发生HUS的原因尚不清楚。特定免疫反应改变一些宿主在原本耐受性良好的感染后发生该综合征易感性的假说并未被正式排除。我们研究的目的是探索一些免疫学参数,以便为24例儿科患者HUS急性期发生的免疫变化增加更多数据。我们与之前的作者一致认为血清补体水平正常,IgG、IgA和IgM浓度升高。(表1)。我们还报告了T淋巴细胞百分比显著且短暂下降,B淋巴细胞相对数量增加。(摘要截短于250字)