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[梅毒早期患者脑脊液变化与免疫状态的临床实验室相关性]

[Clinico-laboratory parallels in changes in the cerebrospinal fluid and the immune status of patients with early stages of syphilis].

作者信息

Burdak V N, Fedotov V P, Manuĭlova L A, Pogorelov V V

出版信息

Vestn Dermatol Venerol. 1989(10):10-3.

PMID:2609741
Abstract

A total of 135 patients with early syphilis were examined, 24 of these with primary seropositive, 31 with secondary new, 70 with secondary relapsing, and 10 with latent early condition. Abnormal shifts were revealed in the cerebrospinal fluid of 51 (37%) patients, in 28 of these Stages I-II shifts, Stages II-III shifts in 10, and Stages III-IV shifts in 13 patients. Clinically the patients with abnormal liquor developed multiple chancres, erosive papules, leukoderma, alopecia, neutrophilia; these patients had suffered from various diseases in the past. Immunologic examinations have detected manifest noncoordination of the immune system: increased counts of the T-lymphocytes and plasmacytes, reduced counts of B-lymphocytes, depressed primary immune response, disordered immunoglobulin ratio.

摘要

共检查了135例早期梅毒患者,其中一期血清阳性24例,二期初发31例,二期复发70例,早期潜伏10例。51例(37%)患者脑脊液出现异常变化,其中28例为I-II期变化,10例为II-III期变化,13例为III-IV期变化。临床上,脑脊液异常的患者出现多发性溃疡、糜烂性丘疹、白斑、脱发、中性粒细胞增多;这些患者过去曾患过各种疾病。免疫检查发现免疫系统明显不协调:T淋巴细胞和浆细胞计数增加,B淋巴细胞计数减少,初次免疫反应受抑制,免疫球蛋白比例紊乱。

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