Venza E, Sardeo G, Galassi A, Armani A, Guerini A
Recenti Prog Med. 1989 Nov;80(11):584-7.
The authors describe five cases of necrotizing lymphadenitis without granulocyte infiltration or Kikuchi's disease. Of the patients, all young, four were females and one of male sex. In one case serological positivity was found for the anti Toxoplasma antibodies. Histologically they are noted in the lymph node infiltration areas constituted by histiocytes, immunoblasts, lymphocytes and plasmacytoid cells with phenomena of variable degree necrosis. Granulocytes were absent in all. Cytochemistry and immunohistochemistry studies with specific antiserums for the k and lambda chains, the S100 protein and the MB1, MB2 and MT1 antigens, the Lisozyme and the alpha 1 antichymotrypsin, show a prevalent histiocyte population, associated with a modest polyclonal B component and with a T population of variable entity. The plasmacytoid component did not appear reactive to the same antibodies.
作者描述了5例无粒细胞浸润的坏死性淋巴结炎或菊池病。所有患者均为年轻人,4例为女性,1例为男性。1例患者抗弓形虫抗体血清学呈阳性。组织学上,在由组织细胞、免疫母细胞、淋巴细胞和浆细胞样细胞构成的淋巴结浸润区域可见不同程度的坏死现象。所有病例均无粒细胞。用针对κ和λ链、S100蛋白、MB1、MB2和MT1抗原、溶菌酶和α1抗胰凝乳蛋白酶的特异性抗血清进行细胞化学和免疫组化研究,结果显示以组织细胞为主,伴有少量多克隆B细胞成分和数量不等的T细胞。浆细胞样成分对相同抗体无反应。