Symoens J
MMW Munch Med Wochenschr. 1977 Nov 18;119(46):1501-4.
For years the treatment of rheumatoid arthritis has been based on the assumption that the autoimmune processes and bone lesions occuring in rheumatic patients are due to inflammatory and immune reactions. Treatment was aimed at restricting these reactions. But various investigators have come to the conviction that the primary factor is not an immunological hyperreactivity but an immunodeficiency in autoimmune diseases. The immunotherapeutic use of transfer factor, BCG and levamisole in patients with rheumatoid arthritis is based on this hypothesis. From the fact that a therapeutic effect is demonstrable in such patients treated with levamisole, the theory that rheumatoid arthritis is an immunodeficiency disease should be accorded greater importance.
多年来,类风湿性关节炎的治疗一直基于这样一种假设,即风湿病患者中发生的自身免疫过程和骨病变是由炎症和免疫反应引起的。治疗旨在限制这些反应。但不同的研究者已深信,自身免疫性疾病的主要因素并非免疫反应过度,而是免疫缺陷。类风湿性关节炎患者使用转移因子、卡介苗和左旋咪唑进行免疫治疗就是基于这一假设。鉴于用左旋咪唑治疗的此类患者显示出治疗效果,类风湿性关节炎是一种免疫缺陷疾病这一理论应得到更大重视。