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[1个月婴儿的总IgE、针对牛奶蛋白的特异性抗体、β-乳球蛋白与湿疹]

[Total IgE, specific antibodies to cow's milk proteins, beta-lactoglobulin and eczema in one month infants].

作者信息

Kawakita A

机构信息

Department of Pediatrics, Nagoya City Jyohoku Munincipal Hospital.

出版信息

Arerugi. 1990 Nov;39(11):1484-91.

PMID:2288494
Abstract

Total IgE, specific IgE.IgA.IgG.IgM antibodies to whole cow's milk and beta-lactoglobulin were measured in 32 term and 23 premature infants. 1) The term infants who developed eczema till one month had significantly high specific IgG titers to whole cow's milk and beta-lactoglobulin in cord blood serum. It is concluded that specific IgG antibody to whole cow's milk and beta-lactoglobulin in cord blood serum have predictive value for the development of eczema till one month. 2) Some of mixed feeding premature infants produced specific IgE.IgA.IgG.IgM antibodies to whole cow's milk and beta-lactoglobulin till one month. These infants produced various kind of specific antibodies to whole cow's milk and beta-lactoglobulin. 3) The premature infants who developed eczema at one month had significantly high specific IgA.IgG titers to cow's milk and high specific IgA titers to beta-lactoglobulin in serum at one month. These infants had a tendency to show high total IgE value and high specific IgM titers to cow's milk and high specific IgG.IgM titers to beta-lactoglobulin. It is concluded that specific antibodies to whole cow's milk and beta-lactoglobulin are responsible for the development of eczema in one month infants.

摘要

在32名足月儿和23名早产儿中检测了总IgE、针对全脂牛奶和β-乳球蛋白的特异性IgE、IgA、IgG、IgM抗体。1)在出生后一个月内发生湿疹的足月儿,其脐带血血清中针对全脂牛奶和β-乳球蛋白的特异性IgG滴度显著升高。得出结论:脐带血血清中针对全脂牛奶和β-乳球蛋白的特异性IgG抗体对出生后一个月内湿疹的发生具有预测价值。2)一些混合喂养的早产儿在出生后一个月内产生了针对全脂牛奶和β-乳球蛋白的特异性IgE、IgA、IgG、IgM抗体。这些婴儿产生了针对全脂牛奶和β-乳球蛋白的各种特异性抗体。3)在出生后一个月发生湿疹的早产儿,其一个月时血清中针对牛奶的特异性IgA、IgG滴度显著升高,针对β-乳球蛋白的特异性IgA滴度也升高。这些婴儿有总IgE值升高、针对牛奶的特异性IgM滴度升高以及针对β-乳球蛋白的特异性IgG、IgM滴度升高的趋势。得出结论:针对全脂牛奶和β-乳球蛋白的特异性抗体是导致一个月大婴儿发生湿疹的原因。

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