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青少年慢性关节炎患儿的外周血淋巴细胞亚群

Peripheral blood lymphocyte subpopulations in children with juvenile chronic arthritis.

作者信息

Nagy K, Kassay L, Berkes E, Velkey L

机构信息

Department of Pediatrics of Postgraduate Medical School, Miskolc, Hungary.

出版信息

Acta Univ Carol Med (Praha). 1991;37(1-2):50-6.

PMID:1845407
Abstract

Peripheral blood lymphocyte subset levels were analyzed in 28 patients with active, polyarticular, juvenile chronic arthritis and in 12 healthy control children. The patients with a similar treatment were divided into two groups, at the beginning of disease and after five years course. Ten children with juvenile chronic arthritis were treated by glucocorticosteroid. After five years the percentage of active T cells, T suppressor cells and active (total T cells ratio were significantly elevated and there was a same decrease in the T4/T8 ratio. Glucocorticosteroid increased proportion of active T cells but it did not change the percentage of other lymphocyte subsets. It is concluded that during the course of disease a drug-induced or spontaneous effect appears which corrects the initial immunological disturbances.

摘要

对28例活动期多关节型幼年慢性关节炎患儿及12例健康对照儿童的外周血淋巴细胞亚群水平进行了分析。将接受类似治疗的患儿按疾病初发时和病程五年后分为两组。10例幼年慢性关节炎患儿接受糖皮质激素治疗。五年后,活化T细胞、抑制性T细胞的百分比及活化(总)T细胞比例显著升高,T4/T8比值则有相同程度的降低。糖皮质激素增加了活化T细胞的比例,但未改变其他淋巴细胞亚群的百分比。得出结论,在疾病过程中出现了药物诱导或自发效应,纠正了最初的免疫紊乱。

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