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下呼吸道感染的临床观察,特别提及血清IgE水平

Clinical observations on lower respiratory tract infections with special reference to serum IgE levels.

作者信息

Nagayama Y, Sakurai N

机构信息

Department of Pediatrics, Chiba Children's Hospital, Japan.

出版信息

Pediatr Pulmonol. 1991;11(1):44-8. doi: 10.1002/ppul.1950110108.

DOI:10.1002/ppul.1950110108
PMID:1923666
Abstract

To examine if the occurrence of wheezing among children with lower respiratory tract infections is associated with atopic predisposition, serum levels of IgE were determined for groups of children with or without wheezing, during infection with Mycoplasma pneumoniae or respiratory syncytial virus (RSV). In M. pneumoniae infection, more than 60% of wheezy children over 2 years of age showed a high IgE level (200 IU/mL or more), while IgE levels were less than 200 IU/mL in 73% of non-wheezy children. In RSV infection, the incidence of high IgE levels among wheezy children was nearly double that of non-wheezy children, although the difference was not significant. These results suggest that in children an allergic disposition is involved in the occurrence of wheezing during the course of lower respiratory tract infections.

摘要

为了研究下呼吸道感染患儿喘息的发生是否与特应性易感性有关,我们测定了肺炎支原体或呼吸道合胞病毒(RSV)感染期间有或无喘息的儿童组的血清IgE水平。在肺炎支原体感染中,超过60%的2岁以上喘息儿童IgE水平较高(200 IU/mL或更高),而73%的无喘息儿童IgE水平低于200 IU/mL。在RSV感染中,喘息儿童中高IgE水平的发生率几乎是非喘息儿童的两倍,尽管差异不显著。这些结果表明,在儿童中,过敏体质与下呼吸道感染过程中喘息的发生有关。

相似文献

1
Clinical observations on lower respiratory tract infections with special reference to serum IgE levels.下呼吸道感染的临床观察,特别提及血清IgE水平
Pediatr Pulmonol. 1991;11(1):44-8. doi: 10.1002/ppul.1950110108.
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Virus-specific IgE and IgG4 antibodies in serum of children infected with respiratory syncytial virus.
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Predictive value of respiratory syncytial virus-specific IgE responses for recurrent wheezing following bronchiolitis.呼吸道合胞病毒特异性IgE反应对毛细支气管炎后反复喘息的预测价值。
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Respiratory syncytial virus-specific IgE antibody responses at the mucosal surface: predictive value for recurrent wheezing and suppression by ribavirin therapy.呼吸道合胞病毒特异性IgE抗体在黏膜表面的反应:对反复喘息的预测价值及利巴韦林治疗的抑制作用
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The development of respiratory syncytial virus-specific IgE and the release of histamine in nasopharyngeal secretions after infection.感染后呼吸道合胞病毒特异性IgE的产生及鼻咽分泌物中组胺的释放。
N Engl J Med. 1981 Oct 8;305(15):841-6. doi: 10.1056/NEJM198110083051501.
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Association of non-wheezing lower respiratory tract illnesses in early life with persistently diminished serum IgE levels. Group Health Medical Associates.生命早期非喘息性下呼吸道疾病与血清IgE水平持续降低的关联。健康集团医疗协会。
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2
Humoral and cellular immunity in children with Mycoplasma pneumoniae infection: a 1-year prospective study.肺炎支原体感染患儿的体液免疫和细胞免疫:一项为期1年的前瞻性研究。
Clin Diagn Lab Immunol. 2005 Oct;12(10):1246-50. doi: 10.1128/CDLI.12.10.1246-1250.2005.
3
Asthma in children: are chlamydia or mycoplasma involved?
儿童哮喘:是否与衣原体或支原体有关?
Paediatr Drugs. 2001;3(3):159-68. doi: 10.2165/00128072-200103030-00001.