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静脉药物滥用者的全身淋巴结病(LAS)。组织学、免疫组织化学和电子显微镜检查:致病相关性

Systemic lymphadenopathy (LAS) in intravenous drug abusers. Histology, immunohistochemistry and electron microscopy: pathogenic correlations.

作者信息

Baroni C D, Pezzella F, Stoppacciaro A, Mirolo M, Pescarmona E, Vitolo D, Cassano A M, Barsotti P, Nicoletti L, Ruco L P

出版信息

Histopathology. 1985 Dec;9(12):1275-93. doi: 10.1111/j.1365-2559.1985.tb02810.x.

DOI:10.1111/j.1365-2559.1985.tb02810.x
PMID:3913634
Abstract

In the present study we have evaluated the histological, immunohistochemical, ultrastructural and cell surface phenotypic features of lymph nodes from 19 intravenous drug abusers and two homosexual men with persistent lymphadenopathy syndrome and from six control patients. Our investigation has demonstrated that the lymphadenopathy of drug abusers is characterized by: (a) specific histological features with evidence of evolution from an initial hyperplastic-reactive to a late regressive-destructive stage; (b) T-cell surface phenotype distribution similar to that in the peripheral blood of homosexuals; (c) peculiar infiltration of the germinal centres by T8+ cells and by S-100+, T6+ interdigitating reticulum-like cells; (d) electron microscopic features indicating the presence of virus bodies in lymph node cells and in the intercellular spaces. These data suggest that the lymphadenopathy of drug abusers and homosexuals are similar pathological conditions with characteristic features which allow histological differentiation of this entity from those found in other viral infections.

摘要

在本研究中,我们评估了19名静脉吸毒者和两名患有持续性淋巴结病综合征的同性恋男性以及6名对照患者的淋巴结的组织学、免疫组织化学、超微结构和细胞表面表型特征。我们的研究表明,吸毒者的淋巴结病具有以下特征:(a) 特定的组织学特征,有从最初的增生性反应阶段发展到后期退行性破坏阶段的证据;(b) T细胞表面表型分布与同性恋者外周血中的相似;(c) 生发中心有T8+细胞以及S-100+、T6+交错网状样细胞的特殊浸润;(d) 电子显微镜特征表明淋巴结细胞和细胞间隙中存在病毒体。这些数据表明,吸毒者和同性恋者的淋巴结病是相似的病理状况,具有特征性特征,这使得该实体在组织学上能够与其他病毒感染中的情况区分开来。

相似文献

1
Systemic lymphadenopathy (LAS) in intravenous drug abusers. Histology, immunohistochemistry and electron microscopy: pathogenic correlations.静脉药物滥用者的全身淋巴结病(LAS)。组织学、免疫组织化学和电子显微镜检查:致病相关性
Histopathology. 1985 Dec;9(12):1275-93. doi: 10.1111/j.1365-2559.1985.tb02810.x.
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Lymph nodes in HIV-positive drug abusers with persistent generalized lymphadenopathy: histology, immunohistochemistry, and pathogenetic correlations.患有持续性全身性淋巴结病的HIV阳性药物滥用者的淋巴结:组织学、免疫组织化学及发病机制相关性
Prog AIDS Pathol. 1990;2:33-50.
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Distribution of T-cell phenotypic subsets and surface immunoglobulin-bearing lymphocytes in lymph nodes from male homosexuals with persistent generalized adenopathy: an immunohistochemical and ultrastructural study.
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[Viral type particles in the germinal centers during a lymphadenopathic syndrome related to AIDS].[与艾滋病相关的淋巴结病综合征期间生发中心的病毒样颗粒]
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Persistent generalized lymphadenopathy in drug addicts: immunological studies.吸毒者的持续性全身性淋巴结病:免疫学研究
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Lymphadenopathy in drug addicts. A study of the distribution of T lymphocyte subsets in the lymph nodes.
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Immunohistochemical demonstration of p24 HTLV III major core protein in different cell types within lymph nodes from patients with lymphadenopathy syndrome (LAS).
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Persistent lymphadenopathy in homosexual men: a clinical and ultrastructural study.
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Ultrastructural alterations and virus-like particles in lymph nodes of drug addicts with lymphadenopathy syndrome (LAS).患有淋巴结病综合征(LAS)的吸毒者淋巴结中的超微结构改变及病毒样颗粒
Pathol Res Pract. 1986 Dec;181(6):755-60. doi: 10.1016/S0344-0338(86)80052-8.
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Immature sinus histiocytosis a monocytoid B-lymphoid reaction.未成熟窦组织细胞增多症是一种单核样B淋巴细胞反应。
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引用本文的文献

1
Expression of HIV in lymph node cells of LAS patients. Immunohistology, in situ hybridization, and identification of target cells.LAS患者淋巴结细胞中HIV的表达。免疫组织学、原位杂交及靶细胞鉴定。
Am J Pathol. 1988 Dec;133(3):498-506.
2
Cytokine production (IL-1 alpha, IL-1 beta, and TNF alpha) and endothelial cell activation (ELAM-1 and HLA-DR) in reactive lymphadenitis, Hodgkin's disease, and in non-Hodgkin's lymphomas. An immunocytochemical study.反应性淋巴结炎、霍奇金病及非霍奇金淋巴瘤中细胞因子产生(白细胞介素-1α、白细胞介素-1β和肿瘤坏死因子α)及内皮细胞活化(E-选择素和人类白细胞抗原-DR):一项免疫细胞化学研究
Am J Pathol. 1990 Nov;137(5):1163-71.