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[成人高免疫球蛋白E血症、复发性葡萄球菌感染及粒细胞趋化性缺陷。乔布综合征的一种变异型]

[Hyperimmunoglobulinemia E, recurring staphylococcal infections and a defect in granulocyte chemotaxis in adults. A variant of Job's syndrome].

作者信息

Heim M E, Herz R, Worst P, Queisser W

出版信息

Dtsch Med Wochenschr. 1985 Oct 4;110(40):1535-9. doi: 10.1055/s-2008-1069043.

Abstract

Two cases in adults with recurrent staphylococcal infections associated with abnormal granulocytic chemotaxis and hyperimmunoglobulinaemia E (Job's syndrome) are described. The pathophysiological mechanisms seems to consist of an abnormal IgE reaction against staphylococcal antigens causing secondary abnormality of granulocyte function. Abnormal cellular immune function was demonstrated in vitro and in vivo. Corticosteroid administration at first proved effective in both patients. One patient developed Hodgkin's disease of the mixed type in the course of the disease.

摘要

本文描述了两例成人复发性葡萄球菌感染病例,这些病例与异常的粒细胞趋化性和高免疫球蛋白E血症(乔布综合征)相关。病理生理机制似乎包括针对葡萄球菌抗原的异常IgE反应,导致粒细胞功能继发性异常。在体外和体内均证实了细胞免疫功能异常。起初,皮质类固醇给药对两名患者均有效。其中一名患者在病程中发展为混合型霍奇金病。

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