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[一种新的冷吡啉突变导致的穆克-韦尔斯综合征:白细胞介素-1拮抗剂的有效治疗]

[Muckle-Wells syndrome caused by a new cryopyrin mutation: effective treatment with interleukin-1 antagonist].

作者信息

Rameev V V, Kozlovskaia L V, Bogdanova M V

出版信息

Ter Arkh. 2012;84(6):53-9.

Abstract

A significant progress in the field of molecular-biological investigations resulted in definition of a new group of systemic diseases referred to as autoinflammatory. This group comprises familial periodic fevers: periodic disease (mediterranean fever), Muckle-Wells syndrome, others cryopirinopathy, TRAPS-syndrome. As shown by case reports, Muckle-Wells syndrome is not a rare disease, its sporadic forms are encountered as well as a less severe variant of cryopirinopathy - nonallergic cold urticaria. Awareness of the physicians in respect of this pathology is essential especially because early diagnosis enables control of this disease with use of biological preparations the spectrum of which tends to expansion. Moreover, arrest of inflammation is necessary for prevention of development and progression of such prognostically poor complication as AA-amyloidosis.

摘要

分子生物学研究领域的一项重大进展促成了一组新的全身性疾病的定义,即自身炎症性疾病。这一组疾病包括家族性周期性发热:周期性疾病(地中海热)、穆克-韦尔斯综合征、其他冷吡啉相关疾病、肿瘤坏死因子受体相关周期性综合征。病例报告显示,穆克-韦尔斯综合征并非罕见疾病,既有散发形式,也有冷吡啉相关疾病较轻的变体——非过敏性冷荨麻疹。医生对这种病理学的认识至关重要,尤其是因为早期诊断能够通过使用生物制剂来控制这种疾病,而生物制剂的种类有不断扩大的趋势。此外,抑制炎症对于预防诸如AA淀粉样变性这种预后不良的并发症的发生和发展是必要的。

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