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接受抗惊厥药物治疗患者的免疫球蛋白A代谢、淋巴细胞功能及组织相容性抗原

Metabolism of immunoglobulin A, lymphocyte function, and histocompatibility antigens in patients on anticonvulsants.

作者信息

Shakir R A, Behan P O, Dick H, Lambie D G

出版信息

J Neurol Neurosurg Psychiatry. 1978 Apr;41(4):307-11. doi: 10.1136/jnnp.41.4.307.

Abstract

Low serum IgA levels were found in patients taking phenytoin, together with evidence of depressed T cell function. There was no correlation between the dose or the serum level. A correlation was found, however, with HL-A status, patients with a low IgA showing increased frequency of HL-A2. It is suggested that epileptic patients with HL-A2 status are likely to develop IgA deficiency when given phenytoin.

摘要

服用苯妥英钠的患者血清免疫球蛋白A(IgA)水平较低,同时有T细胞功能受抑制的证据。剂量或血清水平之间无相关性。然而,发现与人类白细胞抗原(HL-A)状态相关,IgA水平低的患者HL-A2的频率增加。有人提出,具有HL-A2状态的癫痫患者服用苯妥英钠时可能会出现IgA缺乏。

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引用本文的文献

本文引用的文献

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Immunological abnormalities and hydantoins.免疫异常与乙内酰脲类药物
Br Med J. 1972 Jun 3;2(5813):561-3. doi: 10.1136/bmj.2.5813.561.
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Folic acid deficiency and epilepsy.叶酸缺乏与癫痫
Drugs. 1974;8(5):366-85. doi: 10.2165/00003495-197408050-00005.
5
Serum immunoglobulins in epilepsy.癫痫患者的血清免疫球蛋白
J Neurol Sci. 1974 Nov;23(3):353-7. doi: 10.1016/0022-510x(74)90153-1.
6
Human immunoglobulin A.
N Engl J Med. 1968 Dec 12;279(24):1327-30. doi: 10.1056/NEJM196812122792408.
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Abnormalities in IgA-containing mononuclear cells in the gastric lesion of pernicious anaemia.
Lancet. 1968 Oct 19;2(7573):846-9. doi: 10.1016/s0140-6736(68)91001-5.
8
Immune imbalance in dysgammaglobulinaemia type IV.IV型免疫球蛋白异常血症中的免疫失衡。
Lancet. 1968 Jan 20;1(7534):110-4. doi: 10.1016/s0140-6736(68)92721-9.

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