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[红斑狼疮中小唾液腺的组织学特征]

[Histologic aspects of the minor salivary glands in lupus erythematosus].

作者信息

Janin A

机构信息

Laboratoire d'Anatomie Pathologique, Hôpital Calmette, Lille.

出版信息

Ann Med Interne (Paris). 1990;141(3):247-9.

PMID:2369015
Abstract

Minor salivary glands from 10 patients with LE, 5 patients with LE and keratoconjunctivitis sicca and 5 patients with primary Sjögren's syndrome were subjected to histological examination, immunoglobulin detection and lymphocyte typing. There was no clear-cut difference between the last two groups. The 10 LE patients had a moderate lymphocytic infiltrate (stage 1 or 2 according to Chisholm's classification with a predominance of T lymphocytes and a CD4/CD8 ratio greater than 1. Exsudative vasculitis with endothelial swelling and lymphocytes within the capillary walls was always present. These vasculitic lesions in LE distinguish it from the initial periductal involvement seen in primary Sjögren's syndrome.

摘要

对10例红斑狼疮(LE)患者、5例LE合并干燥性角结膜炎患者以及5例原发性干燥综合征患者的小唾液腺进行了组织学检查、免疫球蛋白检测和淋巴细胞分型。后两组之间没有明显差异。10例LE患者有中度淋巴细胞浸润(根据奇泽姆分类为1期或2期,以T淋巴细胞为主,CD4/CD8比值大于1)。总是存在伴有内皮肿胀和毛细血管壁内淋巴细胞的渗出性血管炎。LE中的这些血管病变使其与原发性干燥综合征中最初的导管周围受累相区别。

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