Fischer J L, Cyran J, Linke R P
Internist (Berl). 1986 Feb;27(2):113-7.
The value of the immunohistochemical classification of amyloid-syndromes has been illustrated in two patients with generalized amyloidosis. Chemical types and exact diagnosis were recognized in biopsies (and later necropsies) using antisera against different purified amyloid fibril proteins and the indirect immunoperoxidase technique. The first case, originally diagnosed as "perireticular" amyloid, was diagnosed as "Ak-amyloidosis with kappa-Bence-Jones-proteinuria without apparent B-cell malignoma", the second case as "AA-amyloidosis reactive to periodic fever". The diagnosis and possible therapeutic measures are discussed in the light of the new classification of amyloid syndromes.
免疫组织化学对淀粉样变综合征进行分类的价值,已在两名全身性淀粉样变患者中得到体现。通过使用针对不同纯化淀粉样原纤维蛋白的抗血清和间接免疫过氧化物酶技术,在活检标本(以及后来的尸检标本)中识别出化学类型和确切诊断。第一例最初被诊断为“网状周”淀粉样变,后来诊断为“伴有κ-本斯·琼斯蛋白尿且无明显B细胞恶性肿瘤的Ak型淀粉样变”;第二例诊断为“对周期性发热有反应的AA型淀粉样变”。根据淀粉样变综合征的新分类对诊断和可能的治疗措施进行了讨论。