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儿童自身免疫性中性粒细胞减少症

Autoimmune neutropenia of childhood.

作者信息

Bussel J B, Abboud M R

出版信息

Crit Rev Oncol Hematol. 1987;7(1):37-51. doi: 10.1016/s1040-8428(87)80013-6.

DOI:10.1016/s1040-8428(87)80013-6
PMID:3304676
Abstract

Autoimmune neutropenia (AIN) of infancy is an underreported disease because of its benign nature. In addition, the relative unavailability of neutrophil antibody testing prevents confirmation of suspected diagnoses. Small children do not have life-threatening infections, do not have associated diseases, respond to i.v. gamma globulin with increased neutrophil counts, and tend to improve on their own. Older children with AIN have associated diseases such as hepatitis or Hodgkin's disease, often have other immune cytopenias, and respond poorly to any therapy. Immune deficiency states, especially those of the humoral arms, are associated with development of AIN.

摘要

婴儿期自身免疫性中性粒细胞减少症(AIN)因其良性性质而报告不足。此外,中性粒细胞抗体检测相对难以获得,这使得疑似诊断无法得到确认。幼儿不会发生危及生命的感染,没有相关疾病,静脉注射丙种球蛋白后中性粒细胞计数会增加,并且往往会自行好转。患有AIN的大龄儿童有诸如肝炎或霍奇金病等相关疾病,常常还有其他免疫性血细胞减少症,并且对任何治疗反应不佳。免疫缺陷状态,尤其是体液免疫方面的缺陷状态,与AIN的发生有关。

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Autoimmune neutropenia of childhood.儿童自身免疫性中性粒细胞减少症
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Autoimmune neutropenia of infancy.婴儿自身免疫性中性粒细胞减少症
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Diagnosis and management of primary autoimmune neutropenia in children: insights for clinicians.儿童原发性自身免疫性中性粒细胞减少症的诊断与管理:给临床医生的见解
Ther Adv Hematol. 2015 Feb;6(1):15-24. doi: 10.1177/2040620714556642.
2
Diagnosis and management of autoimmune cytopenias in childhood.儿童自身免疫性血细胞减少症的诊断和治疗。
Pediatr Clin North Am. 2013 Dec;60(6):1489-511. doi: 10.1016/j.pcl.2013.08.009. Epub 2013 Oct 5.
3
Autoimmune neutropenia of infancy.婴儿自身免疫性中性粒细胞减少症
J Clin Pathol. 1992 May;45(5):431-4. doi: 10.1136/jcp.45.5.431.