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[伴发的重症肌无力和播散性红斑狼疮。两例报告及已发表文献的全面综述(作者译)]

[Associated myasthenia and disseminated lupus erythematosus. A report on two cases and complete review of the published literature (author's transl)].

作者信息

Mizon J P, Morcamp D, Lefebvre P, Froissart M, Guidicelli C P, Goasguen J

出版信息

Ann Med Interne (Paris). 1979;130(11):489-500.

PMID:317696
Abstract

Two patients aged 47 and 48 years respectively were found to have associated immunity disorders: myasthenia and DLE in the first case, and erythroblastic anemia, myasthenia, a lupus syndrome, and a thymoma in the second case. The association of myasthenia and DLE has been reported 39 times in the published literature (20 times only if stricter biological criteria are applied). The association does not increase the severity of the patient's condition and a thymoma is not present more frequently. Studies on the major histocompatibility complex and lymphocyte levels are still insufficient in this context: the haplotype was HLA A1 B8 in three cases out of seven. The physiopathological data available cannot confirm the possibility of a common pathogenesis in which the thymus and lymphocytes could play a determining role.

摘要

分别有两名47岁和48岁的患者被发现患有相关的免疫紊乱疾病:第一例为重症肌无力和盘状红斑狼疮,第二例为成红细胞性贫血、重症肌无力、狼疮综合征和胸腺瘤。重症肌无力和盘状红斑狼疮的关联在已发表的文献中被报道过39次(若采用更严格的生物学标准则仅为20次)。这种关联并不会加重患者病情的严重程度,胸腺瘤的出现频率也不会更高。在这方面,关于主要组织相容性复合体和淋巴细胞水平的研究仍然不足:七例中有三例的单倍型为HLA A1 B8。现有的生理病理学数据无法证实胸腺和淋巴细胞可能起决定性作用的共同发病机制的可能性。

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