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类风湿关节炎中的大量嗜酸性粒细胞增多症:4例报告

Massive eosinophilia in rheumatoid arthritis: report of four cases.

作者信息

Dawes P T, Smith D H, Scott D L

出版信息

Clin Rheumatol. 1986 Jan;5(1):62-5. doi: 10.1007/BF02030969.

DOI:10.1007/BF02030969
PMID:3082572
Abstract

We report four cases of massive eosinophilia (greater than 1.5 X 10(9)/l) a phenomenon uncommon in rheumatoid arthritis. In two patients it preceded therapy with second line anti-rheumatic drugs. The others developed it during therapy with penicillamine and gold, though neither had an adverse reaction. It appears there are two patterns of massive eosinophilia in RA; one is related to the disease process the other to drug therapy. It does not necessarily predict adverse drug reactions nor preclude treatment with anti-rheumatic therapy.

摘要

我们报告了4例大量嗜酸性粒细胞增多(大于1.5×10⁹/L)的病例,这在类风湿关节炎中是一种不常见的现象。在2例患者中,该现象先于二线抗风湿药物治疗出现。另外2例患者在青霉胺和金制剂治疗期间出现大量嗜酸性粒细胞增多,尽管二者均未出现不良反应。类风湿关节炎中似乎存在两种大量嗜酸性粒细胞增多的模式;一种与疾病进程有关,另一种与药物治疗有关。它不一定预示药物不良反应,也不排除抗风湿治疗。

相似文献

1
Massive eosinophilia in rheumatoid arthritis: report of four cases.类风湿关节炎中的大量嗜酸性粒细胞增多症:4例报告
Clin Rheumatol. 1986 Jan;5(1):62-5. doi: 10.1007/BF02030969.
2
Prevalence of eosinophilia during gold therapy for rheumatoid arthritis.
J Rheumatol. 1983 Feb;10(1):121-3.
3
Penicillamine in rheumatic diseases: a prospective study of tolerance and efficacy.青霉胺在风湿性疾病中的应用:耐受性和疗效的前瞻性研究
J Rheumatol Suppl. 1981 Jan-Feb;7:107-11.
4
Eosinophilia in D-penicillamine therapy.青霉胺治疗中的嗜酸性粒细胞增多症。
Ann Rheum Dis. 1983 Aug;42(4):408-10. doi: 10.1136/ard.42.4.408.
5
Relationship of gold and penicillamine therapy to diffuse interstitial lung disease.
Ann Rheum Dis. 1981 Apr;40(2):136-41. doi: 10.1136/ard.40.2.136.
6
Sulphasalazine in rheumatoid arthritis: combination therapy with D-penicillamine or sodium aurothiomalate.柳氮磺胺吡啶治疗类风湿性关节炎:与青霉胺或金硫代苹果酸钠联合治疗
Clin Rheumatol. 1988 Jun;7(2):242-8. doi: 10.1007/BF02204462.
7
Proceedings: Eosinophilia during gold therapy.会议记录:金疗法期间的嗜酸性粒细胞增多症。
Rheumatol Rehabil. 1974 May;13(2):75-80. doi: 10.1093/rheumatology/13.2.75.
8
Should one use second-line agents such as gold and D-penicillamine in a patient with active rheumatoid arthritis and asymptomatic microscopic haematuria for which no cause can be determined?
Br J Rheumatol. 1989 Feb;28(1):39. doi: 10.1093/rheumatology/28.1.39.
9
Adverse reactions to D-penicillamine after gold toxicity.金中毒后对青霉胺的不良反应。
Br Med J. 1980 Jun 21;280(6230):1498-500. doi: 10.1136/bmj.280.6230.1498.
10
Renal changes in patients with rheumatoid arthritis treated with sodium thiomalate and D-penicillamine.用硫代苹果酸钠和D-青霉胺治疗的类风湿性关节炎患者的肾脏变化。
Acta Med Iugosl. 1987;41(5):363-72.

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Eosinophilia predicts poor clinical outcomes in recent-onset arthritis: results from the ESPOIR cohort.嗜酸性粒细胞增多预示着近期发病关节炎的临床结局不佳:来自 ESPOIR 队列的研究结果。
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本文引用的文献

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Presence of eosinophilia in progressive systemic sclerosis and localized scleroderma.嗜酸性粒细胞增多症在进行性系统性硬化症和局限性硬皮病中的存在情况。
Arch Dermatol Res. 1981;271(4):411-7. doi: 10.1007/BF00406686.
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Food intolerance in rheumatoid arthritis. II. Clinical and histological aspects.类风湿关节炎中的食物不耐受。II. 临床和组织学方面。
Ann Rheum Dis. 1992 Mar;51(3):303-6. doi: 10.1136/ard.51.3.303.
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Eosinophilia and allergic reactions to drugs.嗜酸性粒细胞增多症与药物过敏反应。
Clin Haematol. 1980 Oct;9(3):521-34.
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Eosinophilic fasciitis.
Semin Arthritis Rheum. 1980 Feb;9(3):228-35. doi: 10.1016/0049-0172(80)90009-8.
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Eosinophilia in D-penicillamine therapy.青霉胺治疗中的嗜酸性粒细胞增多症。
Ann Rheum Dis. 1983 Aug;42(4):408-10. doi: 10.1136/ard.42.4.408.
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Rheumatoid lung disease with cavitary nodules, pneumothorax and eosinophilia.类风湿性肺病伴空洞性结节、气胸和嗜酸性粒细胞增多症。
N Engl J Med. 1966 Sep 29;275(13):697-700. doi: 10.1056/NEJM196609292751304.
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The effect of penicillamine on the laboratory parameters in rheumatoid arthritis.青霉胺对类风湿关节炎实验室指标的影响。
Arthritis Rheum. 1965 Dec;8(6):1064-79. doi: 10.1002/art.1780080606.
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Rheumatoid pleuritis with effusion.类风湿性胸膜炎伴胸腔积液。
Dis Chest. 1968 May;53(5):521-7. doi: 10.1378/chest.53.5.521.