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人乳头瘤病毒感染与自身免疫性疾病:一家三级中心的经验。

Human papillomavirus infection and autoimmune disorders: a tertiary center experience.

机构信息

Department of Biology, Faculty of Science, Hacettepe University, 06800 Beytepe, Ankara, Turkey.

Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, 06100 Sihhiye, Ankara, Turkey.

出版信息

Pathog Dis. 2019 Apr 1;77(3). doi: 10.1093/femspd/ftz028.

DOI:10.1093/femspd/ftz028
PMID:31034015
Abstract

This study aimed to investigate the relationship between HPV and autoimmune disorders. We retrospectively evaluated 62 women who had HPV-DNA positivity in terms of autoimmune disorders (autoimmune antibody positivity, chronic inflammatory diseases and autoimmune diseases). The patients were divided into two groups according to autoimmune disorder positivity (autoimmune positive (n = 30), autoimmune negative (n = 32)) and compared with each other in terms of single and multiple HPV-DNA types, high and low-risk HPV-DNA types, and Pap smear findings. We determined that 48.4% of the HPV-DNA positive patients had autoimmune disorders. We found that 15 of 62 (24.2%) women had more than one type of HPV and HPV type 16 was the dominant type in this study (58.2%). A total of 27.4% of HPV-DNA positive patients had abnormal cytological findings. There was no statistically significant difference between autoimmune groups in terms of the presence of high-risk HPV types, multiple HPV types and abnormal cytological findings (P = 0.531, P = 0.558 and P = 0.234, respectively). The prevalence of autoimmune disorders was high among HPV-DNA positive women. On the other hand, the rate of high-risk HPV type positivity, multiple HPV infections and cytopathological findings were similar between the autoimmune positive and negative groups.

摘要

本研究旨在探讨 HPV 与自身免疫性疾病之间的关系。我们回顾性评估了 62 名 HPV-DNA 阳性的女性,这些女性患有自身免疫性疾病(自身抗体阳性、慢性炎症性疾病和自身免疫性疾病)。根据自身免疫性疾病阳性(自身免疫阳性(n=30),自身免疫阴性(n=32))将患者分为两组,并比较两组之间的单一和多种 HPV-DNA 类型、高危和低危 HPV-DNA 类型以及巴氏涂片结果。我们确定 48.4%的 HPV-DNA 阳性患者患有自身免疫性疾病。我们发现,62 名女性中有 15 名患有超过一种类型的 HPV,在本研究中 HPV 16 是主要类型(58.2%)。共有 27.4%的 HPV-DNA 阳性患者出现细胞学异常。在高危 HPV 类型、多种 HPV 类型和细胞学异常的存在方面,自身免疫组之间无统计学差异(P=0.531、P=0.558 和 P=0.234)。HPV-DNA 阳性女性自身免疫性疾病的患病率较高。另一方面,自身免疫阳性和阴性组之间高危 HPV 型阳性率、多种 HPV 感染和细胞病理学发现的发生率相似。

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