Monti G, Toia M, Miragoli G, Cereda U G, Invernizzi F
Minerva Med. 1979 Jul 14;70(32):2235-46.
Six cases of an association of liver disease with a cryoglobulinaemia syndrome are described. An account of their clinical, body fluid and anatomopathological pictures is followed by a discussion of their possible causes in the light of the relevant literature. It is felt that no assessment can be made of the primary nature of either disease in associations of this kind. In addition to cases in which prior liver disease or exposure to hepatitis virus can be shown, in fact, there are other situations in which liver disease was present before the manifestation of cryoglobulinaemia. Repeated antigen stimulus triggers the antibody response leading to the formation of cryoprecipitating complexes. In most cases, the nature of such antigen is not known, since HB virus or any other virus, bacterial product, or cell catabolism product either eliminated in insufficient quantities, or produced in abnormal quantities, may be responsible.
本文描述了6例肝病与冷球蛋白血症综合征相关的病例。在介绍了它们的临床、体液及解剖病理学表现后,结合相关文献对其可能的病因进行了讨论。认为对于此类关联中任何一种疾病的原发性本质都无法做出评估。事实上,除了能证明先前存在肝病或接触过肝炎病毒的病例外,还有其他一些情况,即冷球蛋白血症出现之前就已存在肝病。反复的抗原刺激引发抗体反应,导致冷沉淀复合物的形成。在大多数情况下,此类抗原的性质尚不清楚,因为乙肝病毒或任何其他病毒、细菌产物或细胞分解产物,要么清除量不足,要么产生量异常,都可能是病因。