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传染性单核细胞增多症后再生障碍性贫血:可能的免疫病因。

Aplastic anemia following infectious mononucleosis: possible immune etiology.

作者信息

Shadduck R K, Winkelstein A, Zeigler Z, Lichter J, Goldstein M, Michaels M, Rabin B

出版信息

Exp Hematol. 1979 May;7(5):264-71.

PMID:314384
Abstract

A 17-year-old female developed severe aplastic anemia following serologically proven infectious mononucleosis. In vitro studies, using the granulocyte colony forming technique, suggested that the aplasia may have resulted from an immune mechanism. The patient's marrow grew no granulocyte colonies and caused inhibition of colony formation when mixed with normal marrows. The patient recovered fully after therapy with antithymocyte globulin and marrow cultures showed disappearance of the inhibitory effect. These observations suggest that the severe aplasia may have resulted from an aberrant immune response which followed infection by EB virus.

摘要

一名17岁女性在血清学确诊为传染性单核细胞增多症后发生了严重再生障碍性贫血。采用粒细胞集落形成技术进行的体外研究表明,再生障碍可能是由免疫机制导致的。该患者的骨髓未生长出粒细胞集落,且与正常骨髓混合时会抑制集落形成。患者在接受抗胸腺细胞球蛋白治疗后完全康复,骨髓培养显示抑制作用消失。这些观察结果表明,严重再生障碍可能是由EB病毒感染后异常的免疫反应所致。

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1
Aplastic anemia following infectious mononucleosis: possible immune etiology.传染性单核细胞增多症后再生障碍性贫血:可能的免疫病因。
Exp Hematol. 1979 May;7(5):264-71.
2
Pure red blood cell aplasia associated with chronic Epstein-Barr virus infection: evidence for T cell-mediated suppression of erythroid colony forming units.与慢性爱泼斯坦-巴尔病毒感染相关的纯红细胞再生障碍:T细胞介导的对红系集落形成单位抑制作用的证据
J Lab Clin Med. 1984 Dec;104(6):995-1006.
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Aplastic anemia complicating infectious mononucleosis: a case report and review of the literature.再生障碍性贫血合并传染性单核细胞增多症:一例报告并文献复习
Pediatrics. 1981 Jun;67(6):907-10.
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[Progress in biology and therapy of aplastic anemia and other conditions of bone marrow failure].再生障碍性贫血及其他骨髓衰竭病症的生物学与治疗进展
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In vitro response of T cells from aplastic anemia patients to antilymphocyte globulin and phytohemagglutinin: colony-stimulating activity and lymphokine production.再生障碍性贫血患者T细胞对抗淋巴细胞球蛋白和植物血凝素的体外反应:集落刺激活性和淋巴因子产生。
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[Effectiveness of antilymphocyte and antithymocyte globulins for patients with severe aplastic anemia and pure red cell aplasia--analysis of immunologic parameters of peripheral lymphocytes concerning ALG and ATG therapy].抗淋巴细胞球蛋白和抗胸腺细胞球蛋白治疗严重再生障碍性贫血和纯红细胞再生障碍性贫血患者的疗效——关于抗淋巴细胞球蛋白(ALG)和抗胸腺细胞球蛋白(ATG)治疗的外周淋巴细胞免疫参数分析
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Aplastic anemia associated with bone marrow suppressor T-cell hyperactivity: successful treatment with antithymocyte globulin.与骨髓抑制性T细胞活性亢进相关的再生障碍性贫血:抗胸腺细胞球蛋白治疗成功
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Treatment of severe aplastic anemia with antilymphocyte globulin and androgens.用抗淋巴细胞球蛋白和雄激素治疗重型再生障碍性贫血。
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[Effect of antithymocyte globulin on bone marrow colony-forming capacity during defective myelopoiesis].[抗胸腺细胞球蛋白对骨髓生成缺陷时骨髓集落形成能力的影响]
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J Clin Immunol. 1982 Jan;2(1):55-8. doi: 10.1007/BF00915979.
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