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美国骨佩吉特病与既往养狗经历:狗可排除在外

Paget's disease of bone and previous pet ownership in the United States: dogs exonerated.

作者信息

Siris E S, Kelsey J L, Flaster E, Parker S

机构信息

Department of Medicine, Columbia University College of Physicians and Surgeons, New York, NY 10032.

出版信息

Int J Epidemiol. 1990 Jun;19(2):455-8. doi: 10.1093/ije/19.2.455.

Abstract

Paget's disease of bone is currently believed to be the result of a paramyxovirus infection of osteoclasts. Previously reported immunohistological data have suggested that a virus resembling either the measles virus or a respiratory syncytial virus is the probable causative agent, but no organism has been isolated or definitively identified to date. A recent study reporting an increased exposure to dogs during childhood and adolescence in a small series of cases from the North West of England proposed that a canine virus, possibly distemper, might be the primarily infectious agent. To study this hypothesis further, we examined prior dog and cat ownership from childhood through adulthood in 433 cases of Paget's disease and an equal number of matched controls living in the US. We found no differences related to prior pet ownership. We conclude that past dog (or cat) ownership is not a risk factor for the development of Paget's disease.

摘要

目前认为骨佩吉特病是破骨细胞受到副粘病毒感染的结果。先前报道的免疫组织学数据表明,一种类似于麻疹病毒或呼吸道合胞病毒的病毒可能是病原体,但迄今为止尚未分离出或明确鉴定出该病原体。最近一项针对英格兰西北部一小系列病例的研究报告称,在儿童期和青春期与狗接触增加,提出一种犬类病毒(可能是犬瘟热)可能是主要感染源。为了进一步研究这一假设,我们调查了433例佩吉特病患者以及美国同等数量的匹配对照从童年到成年期间之前养狗和养猫的情况。我们发现与之前养宠物情况无关。我们得出结论,过去养狗(或猫)并非佩吉特病发病的危险因素。

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