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IgM冷球蛋白沉积于周围神经。

IgM cryoglobulin deposits in the peripheral nerve.

作者信息

Vital A, Vital C, Ragnaud J M, Baquey A, Aubertin J

机构信息

Department of Pathology, Hôpital Pellegrin, Bordeaux, France.

出版信息

Virchows Arch A Pathol Anat Histopathol. 1991;418(1):83-5. doi: 10.1007/BF01600248.

DOI:10.1007/BF01600248
PMID:1846485
Abstract

In a patient with Waldenström's macroglobulinaemia and peripheral neuropathy, direct immunofluorescence of a peripheral nerve revealed the presence of abundant IgM and kappa light chain deposits in the endoneurium. Electron microscopic examination showed the microtubular structure of these endoneurial deposits, which strongly suggested the presence of cryoglobulin; this was then found in the serum.

摘要

在一名患有华氏巨球蛋白血症和周围神经病变的患者中,对其周围神经进行直接免疫荧光检查发现,神经内膜中有大量IgM和κ轻链沉积。电子显微镜检查显示这些神经内膜沉积物具有微管结构,强烈提示存在冷球蛋白;随后在血清中发现了冷球蛋白。

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2
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本文引用的文献

1
Cryoglobulinemic neuropathy: ultrastructural study of the nerve capillaries.
Acta Neuropathol Suppl. 1981;7:252-4. doi: 10.1007/978-3-642-81553-9_74.
2
Biologic and clinical significance of cryoglobulins. A report of 86 cases.冷球蛋白的生物学及临床意义。86例报告。
Am J Med. 1974 Nov;57(5):775-88. doi: 10.1016/0002-9343(74)90852-3.
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Pathology of dysproteinemia: light chain amyloidosis, non-amyloid immunoglobulin deposition disease, cryoglobulinemia syndromes, and macroglobulinemia of Waldenström.异常蛋白血症的病理学:轻链淀粉样变性、非淀粉样免疫球蛋白沉积病、冷球蛋白血症综合征及华氏巨球蛋白血症。
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Cryoglobulinaemic neuropathy. A clinical, morphological and immunocytochemical study of 8 cases.冷球蛋白血症性神经病。8例临床、形态学及免疫细胞化学研究
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Peripheral neuropathy with essential mixed cryoglobulinemia: biopsies from 5 cases.伴有原发性混合性冷球蛋白血症的周围神经病:5例活检病例
Acta Neuropathol. 1988;75(6):605-10. doi: 10.1007/BF00686206.
7
Neuropathy in IgM lambda paraproteinemia. Immunoreactivity to neural proteins and chondroitin sulfate.IgM λ副蛋白血症中的神经病变。对神经蛋白和硫酸软骨素的免疫反应性。
Acta Neuropathol. 1989;78(1):57-64. doi: 10.1007/BF00687403.
8
Polyneuropathy associated with IgM monoclonal gammopathy. Immunological and pathological study in 31 patients.与IgM单克隆丙种球蛋白病相关的多发性神经病。31例患者的免疫学和病理学研究
Acta Neuropathol. 1989;79(2):160-7. doi: 10.1007/BF00294374.
9
Ultrastructural study of human IgG and IgG-IgM crystalcryoglobulins.人IgG及IgG-IgM冷球蛋白晶体的超微结构研究
Am J Clin Pathol. 1979 Apr;71(4):404-10. doi: 10.1093/ajcp/71.4.404.
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Ultrastructure of myeloma cells in a case with crystalcryoglobulinemia.
Cancer. 1977 Apr;39(4):1475-81. doi: 10.1002/1097-0142(197704)39:4<1475::aid-cncr2820390419>3.0.co;2-s.