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感染艾滋病毒的血友病男孩体内的冷凝集素

Cold agglutinins in haemophiliac boys infected with HIV.

作者信息

Bolton-Maggs P H, Rogan P D, Duguid J K, Mutton K J, Ball L M

机构信息

Royal Liverpool Children's Hospital, Alder Hey.

出版信息

Arch Dis Child. 1991 Jun;66(6):732-3. doi: 10.1136/adc.66.6.732.

DOI:10.1136/adc.66.6.732
PMID:2053801
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1793164/
Abstract

Eleven haemophiliac boys infected with HIV were screened for irregular red cell antibodies and were compared with nine haemophiliac boys who did not have antibodies to HIV. Seven (64%) of the children who had antibodies to HIV also had cold agglutinins, mostly of anti-I specificity, compared with one (11%) of those who did not have antibodies to HIV. The children with antibodies to HIV and cold agglutinins had a significantly increased mean IgM concentration. The presence of cold agglutinins was not correlated with T4 lymphocyte count, symptoms of HIV infection, serum beta 2 microglobulin concentrations, concentrations of IgG or IgA, or with the evidence of past infection with cytomegalovirus or Epstein-Barr virus.

摘要

对11名感染了HIV的血友病男孩进行了不规则红细胞抗体筛查,并与9名未感染HIV抗体的血友病男孩进行了比较。在感染HIV抗体的儿童中,有7名(64%)也有冷凝集素,大多数具有抗-I特异性,而未感染HIV抗体的儿童中这一比例为1名(11%)。感染HIV抗体和冷凝集素的儿童平均IgM浓度显著升高。冷凝集素的存在与T4淋巴细胞计数、HIV感染症状、血清β2微球蛋白浓度、IgG或IgA浓度,或与既往巨细胞病毒或EB病毒感染证据均无相关性。

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本文引用的文献

1
Red cell autoantibodies in patients with acquired immune deficiency syndrome.
Transfusion. 1986 Sep-Oct;26(5):405-9. doi: 10.1046/j.1537-2995.1986.26587020112.x.
2
Autoimmune hemolytic anemia and human immunodeficiency virus (HIV) infection.
Ann Intern Med. 1988 Aug 1;109(3):249-50. doi: 10.7326/0003-4819-109-3-249_2.
3
Persistent cold agglutinins in AIDS and related disorders.艾滋病及相关疾病中的持续性冷凝集素
Acta Haematol. 1986;75(3):171-3. doi: 10.1159/000206113.
4
Human immunodeficiency virus infection in children.儿童人类免疫缺陷病毒感染
J Pediatr. 1989 Jan;114(1):1-30. doi: 10.1016/s0022-3476(89)80596-7.