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免疫缺陷综合征的胃肠道并发症

Gastrointestinal complications of immunodeficiency syndromes.

作者信息

Katz A J, Rosen F S

出版信息

Ciba Found Symp. 1977(46):243-61. doi: 10.1002/9780470720288.ch12.

DOI:10.1002/9780470720288.ch12
PMID:346324
Abstract

Patients with B cell deficiency have a high incidence of prolonged Giardia lamblia infection of the gastrointestinal tract that causes symptoms of malabsorption with villus flattening. The changes are reversible with therapy directed against Giardia. There is a high incidence of pernicious anaemia in patients with agammaglobulinaemia. Those with abnormal B lymphocytes tend to develop lymphoid nodular hyperplasia. Gastrointestinal disease is rare in boys with X-linked agammaglobulinaemia when compared with adults with the 'acquired' or common variable form of the disease. T cell deficiency results in intractable diarrhoea and monilial infection of the gastrointestinal tract.

摘要

B细胞缺陷患者胃肠道贾第虫感染持续时间延长的发生率很高,这种感染会导致吸收不良症状并伴有绒毛变平。针对贾第虫的治疗可使这些改变逆转。无丙种球蛋白血症患者患恶性贫血的发生率很高。B淋巴细胞异常的患者往往会出现淋巴样结节增生。与患有“获得性”或常见可变型疾病的成人相比,患有X连锁无丙种球蛋白血症的男孩胃肠道疾病很少见。T细胞缺陷会导致顽固性腹泻和胃肠道念珠菌感染。

相似文献

1
Gastrointestinal complications of immunodeficiency syndromes.免疫缺陷综合征的胃肠道并发症
Ciba Found Symp. 1977(46):243-61. doi: 10.1002/9780470720288.ch12.
2
Immunodeficiency syndromes and gastrointestinal disease.免疫缺陷综合征与胃肠疾病。
Pediatr Clin North Am. 1975 Nov;22(4):807-25. doi: 10.1016/s0031-3955(16)33209-6.
3
Gastrointestinal complications of congenital immunodeficiency states. The surgeon's role.先天性免疫缺陷状态的胃肠道并发症。外科医生的作用。
Ann Surg. 1983 Dec;198(6):673-80. doi: 10.1097/00000658-198312000-00001.
4
[Nodular lymphoid hyperplasia of the small intestine and hypogamma-globulinemia. Favourable action of gluten free diet].[小肠结节性淋巴组织增生与低丙种球蛋白血症。无麸质饮食的良好作用]
Nouv Presse Med. 1974 Jun 15;3(24):1535-8.
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Structure and function of the gastrointestinal tract in primary immunodeficiency syndromes (IDS) and in granulocyte dysfunction.
Birth Defects Orig Artic Ser. 1975;11(1):199-207.
6
Immunologic disorders of the gastrointestinal tract.胃肠道免疫紊乱
Postgrad Med. 1973 Nov;54(5):117-23. doi: 10.1080/00325481.1973.11713615.
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Gastrointestinal pathology in patients with common variable immunodeficiency and X-linked agammaglobulinemia.常见变异型免疫缺陷和X连锁无丙种球蛋白血症患者的胃肠道病理学
Am J Surg Pathol. 1996 Oct;20(10):1240-52. doi: 10.1097/00000478-199610000-00010.
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Immunodeficiency with lymphoid hyperplasia.伴有淋巴组织增生的免疫缺陷
Eur J Pediatr. 1977 Feb 21;124(3):207-16. doi: 10.1007/BF00452112.
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[Acquired hypogammaglobulinemia and malabsorption with villous atrophy sensitive to a gluten-free diet].[获得性低丙种球蛋白血症及伴有对无麸质饮食敏感的绒毛萎缩的吸收不良]
Sem Hop. 1984 Mar 8;60(11):786-91.
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X-linked agammaglobulinaemia. Mutation A1246G (R372G).X连锁无丙种球蛋白血症。突变A1246G(R372G)。
Allergol Immunopathol (Madr). 2010 Nov-Dec;38(6):343-5. doi: 10.1016/j.aller.2010.02.007. Epub 2010 Jun 2.

引用本文的文献

1
Protracted Diarrhoea, Immunodeficiency and viruses.迁延性腹泻、免疫缺陷与病毒
Eur J Pediatr. 1982 May;138(3):271-2. doi: 10.1007/BF00441216.
2
Chronic diarrhea associated with hypogammaglobulinemia and enteropathy in infants and children.婴幼儿和儿童中与低丙种球蛋白血症及肠病相关的慢性腹泻。
Dig Dis Sci. 1985 Dec;30(12):1149-55. doi: 10.1007/BF01314049.