Pécoud A
Schweiz Med Wochenschr. 1986 Apr 26;116(17):538-41.
Uremic patients are known to be particularly susceptible to infections and possibly cancer. They have a definite cutaneous anergy to the various antigens used to test delayed-type hypersensitivity. However, in vitro investigations of the individual functions involved in the immune response have not disclosed a profound and reproducible defect of one of these functions. This could be due to the heterogeneity of the patients studied (uremia of differing etiology, variation in metabolic and nutritional conditions, and influence of multiple complications). It is also possible that the main defect lies in regulation and cooperation between the individual functions.
已知尿毒症患者特别容易感染,也可能易患癌症。他们对用于检测迟发型超敏反应的各种抗原存在明确的皮肤无反应性。然而,对免疫反应中涉及的个体功能进行的体外研究并未揭示这些功能之一存在深刻且可重复的缺陷。这可能是由于所研究患者的异质性(病因不同的尿毒症、代谢和营养状况的差异以及多种并发症的影响)。也有可能主要缺陷在于个体功能之间的调节与协作。