Paladini G, Tosato F, Fabiani M G, Zulli L, Parma A
III Divisione di Medicina Generale, Ospedale di Cattinara, Trieste.
Minerva Med. 1988 Mar;79(3):199-203.
Clinical data in 23 consecutive patients with chronic idiopathic neutropenia are reported. During a long-term follow-up (4 to 11 years), none had leukemia or autoimmune diseases. In particular, in no case did serious recurrent infections develop despite severe neutropenia. Immunological studies showed the presence of antibodies to neutrophils in a unique case and of the marker make-up of K lymphocytes in other two with chronic T8 lymphocytosis and associated neutropenia. The immunological features of this syndrome is briefly discussed. Chronic idiopathic neutropenia, even in the presence of an immunological imbalance, is a benign haematological disorder and does not need any treatment.
报告了23例连续性慢性特发性中性粒细胞减少症患者的临床数据。在长期随访(4至11年)期间,无一例发生白血病或自身免疫性疾病。特别是,尽管存在严重的中性粒细胞减少症,但无一例发生严重的反复感染。免疫学研究显示,仅1例存在抗中性粒细胞抗体,另外2例慢性T8淋巴细胞增多症伴中性粒细胞减少症患者存在K淋巴细胞标志物组成。本文简要讨论了该综合征的免疫学特征。慢性特发性中性粒细胞减少症即使存在免疫失衡,也是一种良性血液系统疾病,无需任何治疗。