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RA27/3风疹疫苗接种会导致慢性疲劳吗?

Is RA27/3 rubella immunization a cause of chronic fatigue?

作者信息

Allen A D

机构信息

Biomedical Sciences Division, Algorithms, Incorporated, Northridge, California 91325.

出版信息

Med Hypotheses. 1988 Nov;27(3):217-20. doi: 10.1016/0306-9877(88)90146-6.

DOI:10.1016/0306-9877(88)90146-6
PMID:3211019
Abstract

Patients with chronic fatigue syndromes (primary fibrositis syndrome, major affective disorder, etc.) have elevated IgG serum antibodies to multiple common viruses. Only IgG rubella antibodies are positively correlated with the intensity of symptoms and have a height that is clearly significant compared to healthy controls. The lymphotropic properties of the rubella virus could account for the multiple elevated antibodies. Adult women are over-represented in the population of patients with chronic fatigue, and are especially susceptible to developing such symptoms following exposure to attenuated rubella virus. A new more potent strain of live rubella vaccine (strain RA27/3) was introduced in 1979. Within three years reports of patients with chronic fatigue began surfacing in the literature. Considering all this, the possible role of rubella immunization in the etiology of chronic fatigue syndromes deserves further study.

摘要

患有慢性疲劳综合征(原发性纤维肌痛综合征、重度情感障碍等)的患者血清中针对多种常见病毒的IgG抗体升高。只有IgG风疹抗体与症状强度呈正相关,且与健康对照相比其水平明显升高。风疹病毒的嗜淋巴细胞特性可能解释了多种抗体升高的原因。成年女性在慢性疲劳患者群体中占比过高,并且在接触减毒风疹病毒后特别容易出现此类症状。1979年引入了一种新的、效力更强的风疹活疫苗株(RA27/3株)。在三年内,关于慢性疲劳患者的报告开始出现在文献中。考虑到所有这些,风疹免疫在慢性疲劳综合征病因学中的可能作用值得进一步研究。

相似文献

1
Is RA27/3 rubella immunization a cause of chronic fatigue?RA27/3风疹疫苗接种会导致慢性疲劳吗?
Med Hypotheses. 1988 Nov;27(3):217-20. doi: 10.1016/0306-9877(88)90146-6.
2
Studies on the reactogenicity and immunogenicity of the BRD-2 and RA27/3 live attenuated rubella vaccines.BRD - 2和RA27/3风疹减毒活疫苗的反应原性和免疫原性研究。
Vaccine. 1984 Dec;2(4):277-80. doi: 10.1016/0264-410x(84)90044-6.
3
Randomised double-blind placebo-controlled study on adverse effects of rubella immunisation in seronegative women.血清阴性女性风疹免疫接种不良反应的随机双盲安慰剂对照研究。
Lancet. 1997 May 3;349(9061):1277-81. doi: 10.1016/S0140-6736(96)12031-6.
4
Evaluation of Wistar RA27/3 rubella virus vaccine in children.Wistar RA27/3风疹病毒疫苗在儿童中的评估。
Am J Dis Child. 1976 Oct;130(10):1089-91. doi: 10.1001/archpedi.1976.02120110051006.
5
Fetomaternal apects of immunization with RA27/3 live attenuated rubella virus vaccine during pregnancy.孕期接种RA27/3减毒活风疹病毒疫苗的母胎方面情况。
J Pediatr. 1980 Sep;97(3):467-70. doi: 10.1016/s0022-3476(80)80208-3.
6
Rubella in Orkney: seroepidemiology and vaccination.奥克尼群岛的风疹:血清流行病学与疫苗接种
J Hyg (Lond). 1977 Jun;78(3):419-27. doi: 10.1017/s002217240005631x.
7
Risk of chronic arthropathy among women after rubella vaccination. Vaccine Safety Datalink Team.
JAMA. 1997 Aug 20;278(7):551-6.
8
Kinetics of isotype-specific humoral immunity in rubella vaccine-associated arthropathy.风疹疫苗相关关节病中同型特异性体液免疫的动力学
Clin Immunol Immunopathol. 1989 Nov;53(2 Pt 2):S99-106. doi: 10.1016/0090-1229(89)90075-5.
9
Specific immunoglobulin responses in serum and nasal secretions after the administration of attenuated rubella vaccine.接种风疹减毒活疫苗后血清和鼻分泌物中的特异性免疫球蛋白反应。
J Hyg (Lond). 1974 Aug;73(1):127-41. doi: 10.1017/s0022172400023925.
10
Rubella prevention in family practice with RA27/3 vaccine.在家庭医疗中使用RA27/3疫苗预防风疹。
J Fam Pract. 1980 Oct;11(4):537-42.

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