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[迟发型超敏反应皮肤试验及玫瑰花结研究在急性非淋巴细胞白血病中的预后价值]

[Prognostic value of delayed-hypersensitivity skin tests and rosette studies in acute non-lymphoid leukemias].

作者信息

Vu Van H, Révillard J P, Brochier J, Samarut C, Fière D, Révol L

出版信息

Nouv Rev Fr Hematol (1978). 1978 Nov 25;20(3):413-22.

PMID:314098
Abstract

Delayed hypersensitivity skin reactions to Tuberculin and Candidin were studied in 28 patients with non lymphoid acute leukemias. The reactions were found negative in most patients during blastic crises, whereas delayed skin reactions to Candidin were positive during remissions. The possible prognostic significance of the depressed delayed hypersensitivity response in such patients deserves further studies. Alterations of circulating T lymphocytes were observed, including low percentages of E and active E rosette-forming cells during blastic crises, and persisting low E and E active rosettes in some patients in remission; such abnormalities were less frequent in patients with remission of long duration. The percentages of EA and EAC rosettes-forming cells were found normal during blastic crises and remissions. In some patients in remission, lymphocytes were found to bind sheep erythrocytes either uncoated or coated with IgM antibodies, this penomenon which is not observed with normal lymphocytes may reveal persisting abnormalities of a yet undefined nature.

摘要

对28例非淋巴细胞性急性白血病患者进行了结核菌素和念珠菌素迟发型超敏皮肤反应的研究。在大多数患者的原始细胞危象期间,反应呈阴性,而在缓解期,对念珠菌素的迟发型皮肤反应呈阳性。这类患者迟发型超敏反应降低的可能预后意义值得进一步研究。观察到循环T淋巴细胞的改变,包括原始细胞危象期间E和活性E花环形成细胞的百分比低,以及一些缓解期患者中E和E活性花环持续低;这种异常在长期缓解的患者中较少见。在原始细胞危象和缓解期,EA和EAC花环形成细胞的百分比正常。在一些缓解期患者中,发现淋巴细胞能结合未包被或包被有IgM抗体的绵羊红细胞,这种正常淋巴细胞未观察到的现象可能揭示了尚未明确性质的持续异常。

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