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干扰素-α和利巴韦林治疗亚急性硬化性全脑炎男性患者的良好结局。

Favorable outcomes of interferon-α and ribavirin treatment for a male with subacute sclerosing panencephalitis.

机构信息

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; Research Center for Environment and Developmental Medical Sciences, Kyushu University, Fukuoka, Japan.

Department of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

出版信息

J Neuroimmunol. 2021 Sep 15;358:577656. doi: 10.1016/j.jneuroim.2021.577656. Epub 2021 Jul 8.

Abstract

Subacute sclerosing panencephalitis (SSPE) is a slow virus infection associated with mutant measles virus (MeV). The long-term outcome of antiviral treatments remains to be determined. We herein present a Japanese boy who was diagnosed with SSPE at 10 years of age. Intraventricular infusions of interferon-α effectively prevented the progress of symptoms during 14 years of follow-up period. Flow-cytometric analysis demonstrated higher proportion of T helper 17 cells (Th17, 18.2%) than healthy controls (4.8-14.5%) despite the normal subpopulation of peripheral lymphocytes. These data suggest that a group of patients with SSPE may show favorable responses to intraventricular infusions of interferon-α.

摘要

亚急性硬化性全脑炎(SSPE)是一种与变异麻疹病毒(MeV)相关的慢病毒感染。抗病毒治疗的长期疗效仍有待确定。本文报道了一名 10 岁时被诊断为 SSPE 的日本男孩。在 14 年的随访期间,脑室输注干扰素-α有效地阻止了症状的进展。流式细胞分析显示,尽管外周淋巴细胞亚群正常,但 Th17 细胞(Th17,18.2%)的比例高于健康对照组(4.8-14.5%)。这些数据表明,一组 SSPE 患者可能对脑室输注干扰素-α有良好的反应。

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