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多发性硬化症患者的迟发型免疫反应(作者译)

[Immunoreactions of the delayed type in patients with multiple sclerosis (author's transl)].

作者信息

Maida E, Micksche M, Summer K

出版信息

Fortschr Neurol Psychiatr Grenzgeb. 1979 Aug;47(8):431-5.

PMID:314400
Abstract

Skin tests were performed in 34 multiple sclerosis patients. The incidence of positive reactions was reduced in these patients compared with healthy controls, with regard to different recall antigens with the exception of varidase, as well as the PHA and DNCB. No definite differences in reaction between patients who had been suffering from multiple sclerosis for a long time or for a short time, could be established. However, there was a certain dependence on the stage of the disease in so far as positive reactions were less frequent during the acute episode--more pronounced during the subsiding attack than at the onset of the episode--, than during the interval between two attacks. These results suggest that multiple sclerosis is primarily characterised by a weakness of cell-mediated immunity and that this weakness becomes more pronounced during the acute episode. The differences between the skin test reactions performed during the individual phases of the disease are too slight to assist in defining the acute episodes. It may be possible to identify changes in the reaction level via long-term studies.

摘要

对34例多发性硬化症患者进行了皮肤试验。与健康对照相比,这些患者对不同回忆抗原(除了链激酶、PHA和DNCB)的阳性反应发生率降低。长期或短期患多发性硬化症的患者之间,在反应上未发现明确差异。然而,在一定程度上,阳性反应与疾病阶段有关,急性发作期阳性反应较少,缓解期比发作初期更明显,两次发作间期阳性反应则最少。这些结果表明,多发性硬化症主要特征是细胞介导免疫功能减弱,且这种减弱在急性发作期更为明显。疾病各阶段进行的皮肤试验反应差异太小,无法用于界定急性发作期。通过长期研究可能会发现反应水平的变化。

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