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甲状腺自身免疫性疾病的实验室诊断

Laboratory diagnosis in thyroid auto-allergic diseases.

作者信息

Suárez-Chacón R, Sánchez M

出版信息

Allergol Immunopathol (Madr). 1986 Jan-Feb;14(1):15-20.

PMID:3754382
Abstract

Different parameters of humoral and cellular immunologic sensitization have been described in thyroid autoallergic disease, however, the percutaneous biopsy of the gland remains as one of the principal parameters of diagnostic confirmation, wherein the possible error of the sample being taken in an area not affected by the disease. The present study assesses two different parameters of immunologic sensitization, humoral and cellular as they are determination of thyroid antimicrosomal antibodies by hemagglutination and leukocyte inhibition migration tests against the same microsomal antigen. Both types of sensitization are proposed as being relevant, and can be found present alone or combined in the same patient, which suggests that the determination of antibodies is the most useful proof with diagnostic motives, but this should be followed by the determination of leukocyte inhibition migration when the result is negative.

摘要

在甲状腺自身免疫性疾病中,已经描述了体液和细胞免疫致敏的不同参数,然而,甲状腺的经皮活检仍然是诊断确认的主要参数之一,其中存在在未受疾病影响的区域采集样本的可能误差。本研究评估了免疫致敏的两个不同参数,即体液和细胞参数,方法是通过血凝试验和针对相同微粒体抗原的白细胞抑制迁移试验来测定甲状腺微粒体抗体。两种致敏类型都被认为是相关的,并且可以单独存在或在同一患者中同时存在,这表明抗体测定是出于诊断目的最有用的证据,但当结果为阴性时,应随后进行白细胞抑制迁移的测定。

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