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神经白塞病中的神经免疫反应。

Neuroimmunological response in neuro-Behçet's.

作者信息

Garcia-Rivero Alexis Alejandro, Gonzalez-Argote Javier, Martínez Larrarte José Pedro, Iglesias González Ivonne Margarita, Dorta-Contreras Alberto Juan

机构信息

Instituto de Ciencias Básicas y Preclínicas Victoria de Girón, Universidad de Ciencias Médicas de La Habana, La Habana, Cuba.

Instituto de Ciencias Básicas y Preclínicas Victoria de Girón, Universidad de Ciencias Médicas de La Habana, La Habana, Cuba.

出版信息

Reumatol Clin (Engl Ed). 2019 Mar-Apr;15(2):117-120. doi: 10.1016/j.reuma.2017.02.005. Epub 2017 Mar 27.

Abstract

Behçet's disease is a chronic, multisystem, autoimmune vasculitis characterized by a triad of key signs. We report the case of a 16-year-old Caucasian girl, who complained of headache, dizziness and paresis of the left side of her body. After physical examination and ancillary tests, she was diagnosed with Behçet's disease with neurological manifestations (neuro-Behçet's disease). She had a good response to treatment. IgG, IgA, IgM and albumin were quantified in serum and cerebrospinal fluid by single radial immunodiffusion. Intrathecal synthesis was found for the 3 classes of immunoglobulins. This is the first case in which the Reibergram was used to evaluate the neuroimmunological response in a patient with Behçet's disease, suggesting the use of this diagnostic means for the active phase of the disease.

摘要

白塞病是一种慢性、多系统自身免疫性血管炎,以三联征为主要特征。我们报告了一例16岁的白种女孩,她主诉头痛、头晕及左侧身体轻瘫。经过体格检查和辅助检查,她被诊断为伴有神经表现的白塞病(神经白塞病)。她对治疗反应良好。通过单向放射免疫扩散法对血清和脑脊液中的IgG、IgA、IgM及白蛋白进行定量。发现3类免疫球蛋白存在鞘内合成。这是首例使用赖伯图评估白塞病患者神经免疫反应的病例,提示该诊断方法可用于疾病的活动期。

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