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[组织相容性抗原与风湿病相关性的研究]

[Study of the association of histocompatibility antigens with rheumatism].

作者信息

Goriaeva I Iu, Benevolenskaia L I

出版信息

Ter Arkh. 1986;58(10):78-81.

PMID:3798355
Abstract

Study of histocompatibility antigens of the HIA system in 86 patients with rheumatic fever has demonstrated the high rate of the antigens AII, B27, Cw2, 3, Dr5, 7 as compared with control (600 healthy persons). It is therefore necessary to point to the involvement of the HIA system in the formation of proneness to rheumatic fever and its clinical varieties. Special attention should be drawn to the locus HIA C. Histocompatibility antigens associated with rheumatic fever can be viewed as risk factors which should necessarily be taken into account during the conduction of the primary prophylaxis, especially in children coming from the families whose members are afflicted with rheumatic fever as well as in predicting the character of the disease progress and heart disease formation. The presence in the phenotype of A2, AII, B13, 27, Cw2, 3 is associated with a continuously relapsing disease. A10 occurs only in an acute disease marked by a high degree of activity. Mitral diseases are associated with A9, B27, Cw2, 3 whereas aortal distress with AII, B7, 27 and Cw2. B13, Bw35, Cw2 and Dr7 are mostly demonstrable in patients without any heart disease, Dr4 occurs in diseases characterized by minimal activity.

摘要

对86例风湿热患者的人类白细胞抗原(HLA)系统组织相容性抗原进行的研究表明,与对照组(600名健康人)相比,抗原AII、B27、Cw2、3、Dr5、7的出现率较高。因此,有必要指出HLA系统参与了风湿热易感性及其临床类型的形成。应特别关注HLA C位点。与风湿热相关的组织相容性抗原可被视为危险因素,在进行一级预防时,尤其是对于来自有风湿热患者的家庭的儿童,以及在预测疾病进展特征和心脏病形成时,必须考虑这些因素。表型中存在A2、AII、B13、27、Cw2、3与疾病持续复发有关。A10仅出现在活动度高的急性疾病中。二尖瓣疾病与A9、B27、Cw2、3相关,而主动脉病变与AII、B7、27和Cw2相关。B13、Bw35、Cw2和Dr7大多在无心脏病的患者中表现出来,Dr4出现在活动度最小的疾病中。

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