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[进行性多灶性白质脑病作为肾移植免疫抑制的并发症]

[Progressive multifocal leukoencephalopathy as a complication of immunosuppression in kidney transplantation].

作者信息

Holzhausen H J, Mampel E, Koall W, Rockstroh H, Forth H J, Schulze R

出版信息

Z Gesamte Inn Med. 1977 Nov 1;32(21):578-81.

PMID:339582
Abstract

The progressive multifocal leukencephalopathy is mostly observed as paraneoplastic complication of malignant lymphoproliferative systemic diseases. It may develop also under the influence of a long-term immunosuppressive therapy, as it is necessary in the rejection treatment of recipients or organ transplantations. It is reported on a 44-year-old man in whom a progressive multifocal leukencephalopathy with exitus letalis developed 6 months after a kidney transplantation and following immunosuppressive therapy. In the oligodendroglia of the marginal region of leukodystrophic foci in the centrum semiovale of the right cerebral hemisphere by means of electron microscopy paracrystalline situated virions of the type Papova were proved in most cases.

摘要

进行性多灶性白质脑病大多表现为恶性淋巴增殖性全身性疾病的副肿瘤并发症。它也可能在长期免疫抑制治疗的影响下发生,就像在接受者或器官移植的排斥反应治疗中所必需的那样。据报道,一名44岁男子在肾移植并接受免疫抑制治疗6个月后发生了进行性多灶性白质脑病并导致死亡。通过电子显微镜在右侧大脑半球半卵圆中心脑白质营养不良灶边缘区域的少突胶质细胞中,大多数情况下都证实了存在乳头多瘤空泡病毒属类型的准晶体状病毒颗粒。

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