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[兔淋巴引流阻断后类丹毒关节炎的实验研究]

[Experimental study on erysipeloid arthritis in the rabbit after blockage of lymph drainage].

作者信息

Canders J, Brunner H, Walter S, Bernhardt-Huth D, Huth F

出版信息

Z Rheumatol. 1979 Sep-Oct;38(9-10):349-71.

PMID:392987
Abstract

The lymph drainage was radically blocked in 29 rabbits. One to three days after the operation Erysipelothrix rhusiopathiae was inoculated subcutaneously into the animals. Some control animals were injected with agents of erysipelas and some only with the sterile solution without additional blockade of the lymph drainage. Light and electron microscopy as well as immuno-histological tests showed that the erysipelas arthritis developing in rabbits closely resembles human rheumatoid arthritis with exsudative-necrotising changes of the synovial membrane, proliferation of synovial cells and subsynovial, perivascular plasmacell, and lymphocyte infiltration. The changes were not intensified by the additional blockade of the lymph drainage, when comparing the side with lymph drainage blockade and the non-operated side. The results may be explained by a marked pathogenetic importance of the erysipelas infection in comparison to the relatively mild, lymphostate dependent alterations as well as by mobilisation of macrophages on the operated side.

摘要

在29只兔子中,淋巴引流被彻底阻断。术后1至3天,将猪丹毒杆菌皮下接种到这些动物体内。一些对照动物注射了丹毒病原体,一些仅注射了无菌溶液,而未额外阻断淋巴引流。光学显微镜、电子显微镜以及免疫组织学检测表明,兔子身上发展出的丹毒关节炎与人类类风湿关节炎极为相似,具有滑膜的渗出性坏死变化、滑膜细胞增殖以及滑膜下、血管周围浆细胞和淋巴细胞浸润。与未手术侧相比,当比较有淋巴引流阻断的一侧时,淋巴引流的额外阻断并未加剧这些变化。这些结果可以解释为,相较于相对轻微的、依赖淋巴停滞的改变,丹毒感染具有显著的致病重要性,以及手术侧巨噬细胞的动员。

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