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[补体结合试验与Tzanck涂片检查诊断唇疱疹的比较]

[Comparison of complement fixation and Tzanck smear tests for the diagnosis of herpes labialis].

作者信息

Yurdakul C, Ozcan K, Aksungur L, Köksal F

出版信息

Mikrobiyol Bul. 1986 Apr;20(2):84-90.

PMID:3022117
Abstract

In this study, the serum antibody titer of Herpes simplex virus type 1 (HSV-1) in 82 patients with herpes labialis and 100 controls was determined using the complement fixation test. In own experience, the Tzanck smear test (reported to be an aid in the diagnosis of HSV infection) was of no value. In comparison to patients in an early stage of infection, convalescent patients had an antibody titer that was 4 or more times higher (1/64-1/256). Fifty-eight percent of the control group was negative. In own opinion, the variation in titer between the acute and convalescent stages in Herpes simplex cases would be of particular value in diagnosing cases of urethritis, cystitis encephalitis, meningitis, conjunctivitis, primary and recurrent eczema herpeticum and erythema multiforme when HSV is suspected to play a role in the etiology.

摘要

在本研究中,采用补体结合试验测定了82例唇疱疹患者和100例对照者的1型单纯疱疹病毒(HSV-1)血清抗体滴度。根据自身经验,Tzanck涂片检查(据报道有助于HSV感染的诊断)并无价值。与感染早期的患者相比,恢复期患者的抗体滴度高出4倍或更多(1/64 - 1/256)。对照组中58%呈阴性。据本人观点,当怀疑HSV在病因学中起作用时,单纯疱疹病例急性期和恢复期滴度的变化在诊断尿道炎、膀胱炎、脑炎、脑膜炎、结膜炎、原发性和复发性疱疹性湿疹以及多形红斑病例时具有特殊价值。

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