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一种新的血清标志物:辅助诊断不明巩膜病变

[A new seromarker: an aid in the differential diagnosis of unclear scleral processes].

作者信息

Duncker G, Gross W L

出版信息

Klin Monbl Augenheilkd. 1987 Mar;190(3):180-1. doi: 10.1055/s-2008-1050352.

DOI:10.1055/s-2008-1050352
PMID:3295372
Abstract

Ocular involvement occurs in 40% to 50% of patients with Wegener's granulomatosis. The frequent involvement of the eyes in Wegener's disease is largely based on the anatomical contiguity of the orbit and the upper airways. On the other hand, it is also attributable to an isolated ocular involvement in the form of a focal necrotizing vasculitis. In about 60% of patients suffering from Wegener's granulomatosis there are anticytoplasmic antibodies. There seems to be a correlation between the serum level of ACPA and disease activity. In 10 patients out of 12 with ocular vasculitis due to Wegener's granulomatosis positive ACPA titers were found.

摘要

韦格纳肉芽肿病患者中40%至50%会出现眼部受累。韦格纳病中眼部频繁受累在很大程度上是基于眼眶与上呼吸道的解剖连续性。另一方面,这也可归因于以局灶性坏死性血管炎形式出现的孤立性眼部受累。在约60%的韦格纳肉芽肿病患者中存在抗细胞质抗体。抗环瓜氨酸肽抗体(ACPA)的血清水平与疾病活动度之间似乎存在关联。在12例因韦格纳肉芽肿病导致眼部血管炎的患者中,有10例检测到ACPA滴度呈阳性。

相似文献

1
[A new seromarker: an aid in the differential diagnosis of unclear scleral processes].一种新的血清标志物:辅助诊断不明巩膜病变
Klin Monbl Augenheilkd. 1987 Mar;190(3):180-1. doi: 10.1055/s-2008-1050352.
2
Anti-neutrophil cytoplasmic antibodies (ANCA): a seromarker for Wegener's granulomatosis.抗中性粒细胞胞浆抗体(ANCA):韦格纳肉芽肿的一种血清标志物。
J Otolaryngol. 1991 Aug;20(4):274-5.
3
Use of anticytoplasmic autoantibodies in the diagnosis of Wegener's granulomatosis with subglottic stenosis.抗细胞质自身抗体在诊断伴有声门下狭窄的韦格纳肉芽肿中的应用。
Laryngoscope. 1990 Jun;100(6):561-3. doi: 10.1288/00005537-199006000-00001.
4
[Anticytoplasmic antibodies as serological markers and activity parameters of Wegener's granulomatosis. A prospective study].[抗细胞质抗体作为韦格纳肉芽肿的血清学标志物和活动参数。一项前瞻性研究]
Dtsch Med Wochenschr. 1988 Mar 18;113(11):413-7. doi: 10.1055/s-2008-1067654.
5
[Wegener's granulomatosis and anti-cytoplasm antibodies].
Z Gesamte Inn Med. 1990 Nov 1;45(21):638-43.
6
Detection and clinical implication of anti-neutrophil cytoplasm antibodies in Wegener's granulomatosis and rapidly progressive glomerulonephritis.韦格纳肉芽肿病和急进性肾小球肾炎中抗中性粒细胞胞浆抗体的检测及其临床意义
Clin Nephrol. 1989 Oct;32(4):159-67.
7
[ACPA: the first serologic marker for Wegener's granulomatosis].抗环瓜氨酸肽抗体:韦格纳肉芽肿的首个血清学标志物
HNO. 1987 Sep;35(9):390-2.
8
Autoantibodies against cytoplasmic structures of neutrophil granulocytes in Wegener's granulomatosis.韦格纳肉芽肿中针对中性粒细胞胞质结构的自身抗体。
Clin Exp Immunol. 1987 Aug;69(2):350-7.
9
Antibodies to components of neutrophil cytoplasm: a new diagnostic tool in patients with Wegener's granulomatosis and systemic vasculitis.抗中性粒细胞胞浆成分抗体:韦格纳肉芽肿病和系统性血管炎患者的一种新诊断工具。
Q J Med. 1988 Jan;66(249):55-63.
10
Do anticytoplasmic autoantibodies (ACPA) extend our understanding of the spectrum of Wegener's granulomatosis?抗细胞质自身抗体(ACPA)能否拓展我们对韦格纳肉芽肿病谱系的理解?
Pneumologie. 1990 Feb;44 Suppl 1:424-5.

引用本文的文献

1
Indirect immunofluorescence study of the cornea and the conjunctiva in a xenogeneic system: analysis of humoral reactivity in patients with Wegener's granulomatosis.异种系统中角膜和结膜的间接免疫荧光研究:韦格纳肉芽肿病患者体液反应性分析
Graefes Arch Clin Exp Ophthalmol. 1996 Feb;234(2):79-86. doi: 10.1007/BF00695245.
2
Wegener's granulomatosis. Thoughts and observations of a pathologist.韦格纳肉芽肿病。一位病理学家的思考与观察
Eur Arch Otorhinolaryngol. 1990;247(3):133-42. doi: 10.1007/BF00175962.