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免疫紊乱与青少年复发性腮腺炎的相关性:实验室免疫学观察研究

The correlation of immunologic derangement and juvenile recurrent parotitis: an investigation of the laboratory immunological observation.

作者信息

Wu Shufeng, Shi Huan, Cao Ningning, Ye Lei, Yu Chuangqi, Zheng Lingyan

机构信息

a Department of Oral Surgery , Shanghai Jiaotong University School of Medicine , Shanghai , China.

出版信息

Acta Otolaryngol. 2018 Dec;138(12):1112-1116. doi: 10.1080/00016489.2018.1515498. Epub 2019 Jan 31.

Abstract

BACKGROUND

Juvenile recurrent parotitis (JRP) is defined as recurrent parotid inflammation, generally associated with nonobstructive sialectasis of the parotid gland. In addition, the etiology remains unclear, probably immunologically mediated.

AIM

The purposes of the present study were to report the relationship between JRP and immune function from the measurement of the JRP patients' immunoglobulins and T-lymphocyte subset.

METHODS

Immunologic assay from 2014 to 2017 of 100 children diagnosed with JRP at Shanghai Ninth Hospital compared with the 100 normal children by age.

RESULTS

The CD4 level of JRP children aged >6 years was significant lower than the one of JRP preschool children (p < .05), while the IgG level was significant higher than the one of the JRP preschool children (p < .05). In comparison with the normal children, the value of CD8 T cells, immunoglobulin G (IgG), immunoglobulin E (IgE), immunoglobulin A (IgA) and C3 (p < .01) of JRP children was significant higher, while the value of CD4 T cells was lower (p < .01) in spite of age. What is more, the value of CD8 T cells of JRP preschool children was much significant higher than the one of the normal preschool children (p < .01).

CONCLUSION

The immune function of JRP patients may become disorder: the suppression cellular immune function and inadequate humoral immune expression.

摘要

背景

青少年复发性腮腺炎(JRP)被定义为腮腺反复炎症,通常与腮腺非阻塞性涎腺扩张有关。此外,其病因仍不清楚,可能是免疫介导的。

目的

本研究的目的是通过检测JRP患者的免疫球蛋白和T淋巴细胞亚群来报告JRP与免疫功能之间的关系。

方法

对2014年至2017年在上海第九人民医院诊断为JRP的100例儿童进行免疫测定,并与100例同龄正常儿童进行比较。

结果

6岁以上JRP儿童的CD4水平显著低于学龄前JRP儿童(p < 0.05),而IgG水平显著高于学龄前JRP儿童(p < 0.05)。与正常儿童相比,无论年龄大小,JRP儿童的CD8 T细胞、免疫球蛋白G(IgG)、免疫球蛋白E(IgE)、免疫球蛋白A(IgA)和C3的值均显著升高(p < 0.01),而CD4 T细胞的值较低(p < 0.01)。此外,学龄前JRP儿童的CD8 T细胞值显著高于正常学龄前儿童(p < 0.01)。

结论

JRP患者的免疫功能可能出现紊乱:细胞免疫功能受到抑制,体液免疫表达不足。

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